11 NCAC 12 .1509             PATIENT SUBMITTED CLAIM FORMS

The standard claim form shall be provided to any patient by any health care provider if that patient must submit a claim to a payor.  The standard claim form shall be provided as the initial bill for payment of services and will be used by the patient to request reimbursement from a payor.  Health care providers may also continue to provide patients billing statements for subsequent billing of the same services.  No payor may require any additional documentation from a patient to support a claim for reimbursement payment by a patient if the information required is already contained on the standard claim form.  No payor shall require any patient to submit claims or other information in an electronic format.

 

History Note:        Authority G.S. 58‑2‑40; 58‑3‑171;

Eff. October 1, 1994.