- (a) As used in this section, "noncontracted provider" means a provider that has not entered into an agreement with an insurer under section 3 of this chapter.
(b) After September 30, 2009, if an insurer makes a payment to an insured for a health care service rendered by a noncontracted provider, the insurer shall include with the payment instrument written notice to the insured that includes the following:
- (1) A statement specifying the claims covered by the payment instrument.
- (2) The name and address of the provider submitting each claim.
- (3) The amount paid by the insurer for each claim.
- (4) Any amount of a claim that is the insured's responsibility.
(5) A statement in at least 24 point bold type that:
- (A) instructs the insured to use the payment to pay the noncontracted provider if the insured has not paid the noncontracted provider in full;
- (B) specifies that paying the noncontracted provider is the insured's responsibility; and
- (C) states that the failure to make the payment violates the law and may result in collection proceedings or criminal penalties.
As added by P.L.144-2009, SEC.2.