Compilation of Rules and Regulations of the State of Georgia
Department 120 - OFFICE OF COMMISSIONER OF INSURANCE, SAFETY FIRE COMMISSIONER AND INDUSTRIAL LOAN COMMISSIONER
Chapter 120-2 - RULES OF COMMISSIONER OF INSURANCE
Subject 120-2-106 - SURPRISE BILLING
Rule 120-2-106-.02 - Scope and Purpose

Universal Citation: GA Rules and Regs r 120-2-106-.02
Current through Rules and Regulations filed through March 20, 2024

This Regulation is made pursuant to the "Surprise Billing Consumer Protection Act," which was passed to provide a mechanism to resolve billing and payment disputes between insurers and out-of-network providers. It will also establish a fair and equitable arbitration process to handle such disputes. This Regulation applies only to "healthcare plans" and "state healthcare plans," as defined in this Regulation. Nothing in this Regulation shall reduce a covered person's financial responsibilities concerning ground ambulance transportation. Failure of an insurer to comply with the provisions of Chapter 20E of Title 33 shall be deemed an unfair trade practice as defined in 33-6-4.

O.C.G.A. §§ 33-2-9, 33-20E.

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