2006 Utah Code - 31A-22-614.5 — Uniform claims processing.

     31A-22-614.5.   Uniform claims processing.
     (1) Beginning July 1, 1993, all insurers offering health insurance shall use a uniform claim form and uniform billing and claim codes.
     (2) The uniform claim forms and billing codes shall be adopted and approved by the commissioner in accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking Act. The commissioner shall consult with the director of the Division of Health Care Financing, the National Uniform Claim Form Task Force, and the National Uniform Billing Committee when adopting the uniform claims and billing codes.
     (3) (a) Beginning July 1, 1995, all insurers shall offer compatible systems of electronic billing approved by the commissioner in accordance with Title 63, Chapter 46a, Utah Administrative Rulemaking Act. The systems approved by the commissioner may include monitoring and disseminating information concerning eligibility and coverage of individuals.
     (b) The commissioner shall regulate any fees charged by insurers to the providers for uniform claim forms or electronic billing.

Enacted by Chapter 255, 1993 General Session