Providers of dental care, written contract with prepaid dental plan corporations, review and mediation procedures for enrollees required.

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Effective - 28 Aug 1987

354.715. Providers of dental care, written contract with prepaid dental plan corporations, review and mediation procedures for enrollees required. — 1. Any provider of dental health care services who agrees with a prepaid dental plan corporation to provide dental care services to its enrollees shall reduce such agreement to a written contract with the prepaid dental plan corporation.

2. Each prepaid dental plan corporation shall establish procedures for review and mediation of complaints of enrollees concerning the quality of care rendered by a participating dentist. In lieu of establishing such procedures, the corporation may agree in a written document submitted to the director to utilize the services of a peer review committee of a state, district, or local dental society which has been established for purposes of providing the type of review and mediation required. Enrollees and participating dentists shall be made aware of the review mechanism adopted by the prepaid dental plan corporation and shall be informed as to how to submit a complaint for review.

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(L. 1987 S.B. 272 § 8)


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