N.D. Cent. Code § 26.1-49-04

Current through 2023 Legislative Sessions

Section 26.1-49-04 - Provider contracts

A health provider cooperative and its members may execute service contracts permitting the provider members to provide some or all of their health care services through the health provider cooperative to the enrollees, members, subscribers, or insureds of a nonprofit health service plan, health maintenance organization, accident and health insurance company, or the state medical assistance program. Each purchaser may execute contracts for the purchase of health services from a health provider cooperative in accordance with this section. A contract between a health provider cooperative and a purchaser must provide for payment by the purchaser on a substantially capitated or similar risk-sharing basis.

1. Every contract between a health provider cooperative and a purchaser must be in writing and must provide that if the purchaser fails to pay for health care services as set forth in the contract, the enrollee is not liable to the provider for any sums owed by the purchaser.

2. A member provider, agent, or trustee, or assignee thereof, may not maintain any action at law against an enrollee to collect sums owed by the purchaser.

N.D.C.C. § 26.1-49-04