Section Ins 1902.10 - Standard for Claims Payment(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.N.H. Admin. Code § Ins 1902.10
#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
Amended by Volume XXXVI Number 06, Filed February 11, 2016, Proposed by #11014, Effective 1/8/2016, Expires 1/8/2026.