Current through 2025-02, January 8, 2025
Subsection 351-5-1-08 - FEES FOR REPORTS/COPIES1. Health care providers may charge for completing an initial diagnostic medical report (Form M1) or other supplemental report. The charge is to be identified by billing CPT® Code 99080.2. The maximum fee for completing an initial M-1 form or other supplemental report is: Each 10 minutes: $30.003. Health care providers may charge for copies of the health care records required to accompany the bill. The charge is to be identified on the bill using CPT® Code S9981 (units equal total number of pages). The maximum fee for copies is $5 for the first page and 45¢ for each additional page, up to a maximum of $250.00.4. For copies of health care records or other written information, including, but not limited to, billing records furnished in paper form, the maximum fee is $5 for the first page and 45¢ for each additional page, up to a maximum of $250.00. The copying charge must be paid by the requesting party. Health care providers shall not require payment prior to responding to the request unless the requesting party has an unpaid balance for previously requested information from the health care provider. In this event, a health care provider may require payment of the past due balance in addition to pre-payment of the current request prior to responding to the request. Health care providers shall not charge a fee for postage/shipping, sales tax, or a fee for researching a request that results in no records.5. If the requested information exists in a digital or electronic format, the health care provider shall provide an electronic copy of the requested information, if an electronic copy is requested and it is reasonably possible to provide it. The health care provider may charge reasonable actual costs of staff time to create the electronic information and the costs of necessary supplies, up to a maximum of $150.00. The copying charge must be paid by the requesting party. Health care providers shall not require payment prior to responding to the request unless the requesting party has an unpaid balance for previously requested information from the health care provider. In this event, a health care provider may require payment of the past due balance in addition to pre-payment of the current request prior to responding to the request. Health care providers shall not charge a fee for postage/shipping, sales tax, or a fee for researching a request that results in no records. C.M.R. 90, 351, ch. 5, § 351-5-1, subsec. 351-5-1-08