- (1) An insurer shall file on the date specified in filing instructions from the commissioner, an electronic report of all participating providers in that insurer's network on a form and in a manner prescribed by the commissioner. If the insurer maintains health plans with different network access, the insurer must file a separate report for each network.
(2) An insurer shall file an updated report if:
- (a) provider numbers decrease by five percent or more;
- (b) a hospital, surgi-center, or other inpatient facility, with more than five beds, terminates its provider contract with that insurer; or
- (c) requested by the commissioner.
- (3) The commissioner may conduct an audit of an insurer's provider network.
Authorizing statute(s): 33-22-1707, MCA
Implementing statute(s): 33-22-1706, MCA
History: NEW, 2015 MAR p. 565, Eff. 5/15/15.