Act 79: Insurance Claims Easier for New Providers

Article archive / August 2021

Originally published: . Volume 12, No. 8. Source pages: 9.

The Governor signed Representative Dustin Miller's HB 595 into Act 79, making insurance claims easier for new providers. The new law requires a health insurance issuer or managed care organization to consider a new provider as an in-network or participating provider for the purposes of utilization management or prior authorization processes required by the issuer for the provider group.

Proof of the new provider's membership on a hospital medical staff is required. New law adds an exception, that proof of membership on a hospital medical staff is not required if a new provider is an advanced practice registered nurse or a physician assistant licensed in the state of Louisiana and such provider submits a written attestation identifying the collaborating or supervising physician, if a physician relationship is required by law.


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