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Title XXII OCCUPATIONS AND PROFESSIONS

 Chapter 332

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  332.122.  Reimbursement by health benefit or dental plans, criteria. — 1.  The determination of whether a service provided to a patient is covered or reimbursable under the terms of a health benefit or dental benefit plan and the creation and management of a health care provider network are:

  (1)  Deemed not to be the practice of dentistry or other profession governed by this chapter; and

  (2)  Not in any way subject to the provisions of this chapter.

  2.  Claims, records, and documents pertaining to the operations of a health carrier, health benefit plan, dental benefit plan, or health care provider network are not clinical and administrative records under section 332.051.

  3.  Nothing in subsection 1 or 2 of this section shall be construed as affecting the obligations of a health carrier, under chapters 354 and 376, as health carrier is defined in section 376.1350.

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(L. 2004 S.B. 1122)


---- end of effective   28 Aug 2004 ----

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