Termination as a Participating Provider

  1. Law
  2. Georgia Code
  3. Insurance
  4. Essential Rural Health Care Provider Access
  5. Termination as a Participating Provider

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To deny, reject, or terminate an essential rural health care provider from serving as a participating provider in a health benefit plan, the health care insurer shall:

  1. Inform the essential rural health care provider in writing of the basis for such rejection or termination, including a reference to any specific qualification or standard established by the plan in accordance with all applicable laws and regulations which the provider failed to meet; and
  2. Where possible, afford the essential rural health care provider a reasonable opportunity to cure the deficiency which is the basis for such rejection or termination.

(Code 1981, §33-20B-4, enacted by Ga. L. 1998, p. 900, § 2.)


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