Ga. Code § 33-20C-4

Current through 2023-2024 Legislative Session Chapters 1-374, 376-386, 393, 394, 397, 398, 406-412, 414, 415, 421, 424, 427, 429, 430, 432-456, 460, 461, 471, 473, 475, 478, 480, 483, 484, 488, 490

Section 33-20C-4 - Information and searchable format for directories; exclusion for dental plans

(a) The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format:

(1) For healthcare professionals:

(A) Name;

(B) Gender;

(C) Contact information;

(D) Participating office location or locations;

(E) Specialty, if applicable;

(F) Board certifications, if applicable;

(G) Medical group affiliations, if applicable;

(H) Participating facility affiliations, if applicable;

(I) Languages spoken other than English by the healthcare professional or clinical staff, if applicable;

(J) Tier; and

(K) Whether they are accepting new patients;

(2) For hospitals:

(A) Hospital name;

(B) Hospital type, such as acute, rehabilitation, children's, or cancer;

(C) Participating hospital location;

(D) Hospital accreditation status;

(E) Telephone number; and

(F) Health benefit plan surprise bill rating; and

(3) For facilities other than hospitals:

(A) Facility name;

(B) Facility type;

(C) Types of services performed;

(D) Participating facility location or locations; and

(E) Telephone number.

(b) Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.

OCGA § 33-20C-4

Amended by 2020 Ga. Laws 475,§ 2, eff. 11/1/2020.

Added by 2016 Ga. Laws 341,§ 1, eff. 7/1/2016.