- (a) In the event of a dispute between a health care provider and an insurance carrier relative to the reasonable value of a service under RSA 329:31-b, either the provider or the insurance carrier may petition for a hearing under RSA 400-A:17 and Ins 208.
(b) The petitioner shall file an original and 2 copies of the petition, and the petition shall set forth the following information:
- (1) The rate the petitioning party believes is commercially reasonable;
- (2) The evidence and methodology for asserting that the fee is reasonable;
- (3) The relevant facts relating to the billing code used;
- (4) The efforts made by the parties to resolve the dispute prior to petitioning the commissioner for review, including a statement of whether the parties have engaged in mediation; and
- (5) A certification that the other party and the data analytics division of the Insurance Department has been served with the petition.
- (c) Any petition which does not contain the information required in (b) above shall be inadequate.
Source. (See Revision Note at chapter heading for Ins 200) #13073-A, eff 7-27-20