SLS 10RS-1716 ORIGINAL
Page 1 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
Regular Session, 2010
SENATE BILL NO. 710
BY SENATOR CHEEK
HEALTH/ACC INSURANCE. Requires the health insurance issuer to pay any new
provider to the contracted network of providers the contracted reimbursement rate of the
network. (8/15/10)
AN ACT1
To enact R.S. 22:1874(A)(5), relative to billing by contracted health care providers; to2
provide with respect to the payment to any new provider to the contracted network3
of providers; and to provide for related matters.4
Be it enacted by the Legislature of Louisiana:5
Section 1. R.S. 22:1874(A)(5) is hereby enacted to read as follows: 6
ยง1874. Billing by contracted health care providers7
A. * * *8
(5) A health insurance issuer contracting with a network of providers9
that bills a health insurance issuer utilizing a group identification number, such10
as the group federal tax identification number or the group National Provider11
Identifier as set forth in 45 CFR162.402 et seq., shall pay any new provider to12
the contracted network of providers, the contracted reimbursement rate of the13
network for a period of one hundred and eighty days from the date of the first14
bill, utilizing the group identification number of the contracted network of15
contracted providers. The new provider to the network of contracted providers16
shall be credentialed by a contracted-base health care facility of the health17 SB NO. 710
SLS 10RS-1716 ORIGINAL
Page 2 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
insurance issuer.1
* * *2
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Cheryl Horne.
DIGEST
Proposed law requires a health insurance issuer contracting with a network of providers that
bills a health insurance issuer utilizing a group identification number to pay any new
provider to the contracted network of providers, the contracted reimbursement rate of the
network for a period of 180 days from the date of the first bill. Requires the new provider
to the network of contracted providers to be credentialed by a contracted base health care
facility of the health insurance issuer.
Effective August 15, 2010.
(Adds R.S. 22:1874(A)(5))