34 Pa. Code § 127.205

Current through Register Vol. 50, No. 49, December 5, 2020
Section 127.205 - Calculation of amount of payment due to providers

Bills submitted by providers for payment shall state the provider's actual charges for the treatment rendered. A provider's statement of actual charges will not be construed to be an unlawful request or requirement for payment in excess of the medical fee caps. The insurer to whom the bill is submitted shall calculate the proper amount of payment for the treatment rendered.

34 Pa. Code § 127.205