New Hampshire Code of Administrative Rules
Ins - Commissioner, Insurance Department
Chapter Ins 1900 - ACCIDENT AND HEALTH INSURANCE
Part Ins 1902 - MINIMUM STANDARDS FOR MEDICARE SUPPLEMENT POLICIES ISSUED PRIOR TO ADOPTION OF INSURANCE REGULATION 1905
Section Ins 1902.10 - Standard for Claims Payment
Universal Citation: NH Admin Rules Ins 1902.10
Current through Register No. 12, March 21, 2024
(a) An issuer shall comply with section 1882(c)(3) of the Social Security Act, as enacted by section 4081(b)(2)(c) of the Omnibus Budget Reconciliation Act of 1987, OBRA, 1987, Public Law No. 100-203, by:
(1)
Accepting a notice from a medicare carrier on dually assigned claims submitted
by participating physicians and suppliers as a claim for benefits in place of
any other claim form otherwise required and making a payment determination on
the basis of the information contained in that notice;
(2) Notifying the participating physicians or
supplier and the beneficiary of the payment determination;
(3) Paying the participating physician or
supplier directly;
(4) Furnishing,
at the time of enrollment, each enrollee with a card listing the policy name,
number and a central mailing address to which notices from a medicare carrier
may be sent;
(5) Paying user fees
for claim notices that are transmitted electronically or otherwise;
and
(6) Providing to the Secretary
of Health and Human Services, at least annually, a central mailing address to
which all claims may be sent by medicare carriers.
#1900, eff 1-1-82; ss by #4287, eff 7-1-87; ss by #5119, eff 4-25-91; amd by #5421, eff 7-1-92; ss by #5656, eff 7-1-93; ss by #6405, eff 1-1-97, EXPIRED: 1-1-05
New. #8555, eff 2-1-06
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