4123-6-07 Services and supplies never covered.  

  • Text Box: ACTION: Final Text Box: DATE: 01/22/2010 2:06 PM

     

     

     

    TO BE RESCINDED

     

    4123-6-07                    Balance billing prohibited.

     

     

    No health care provider, whether certified or not, shall charge, assess, or otherwise attempt to collect from an employee, employer, a managed care organization, or the bureau any amount for covered services or supplies that is in excess of the allowed amount paid by a managed care organization, the bureau or a qualified health plan.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    4123-6-07                                                  TO BE RESCINDED                                        2

    Effective:                                                     02/01/2010

    R.C. 119.032 review dates:                         11/17/2009

    CERTIFIED ELECTRONICALLY

    Certification

    01/22/2010

    Date

    Promulgated Under:                           119.03

    Statutory Authority:                           4121.12, 4121.121, 4121.30, 4121.31, 4121.44,

    4121.441, 4123.05, 4123.66

    Rule Amplifies:                                  4121.121, 4121.44, 4121.441, 4123.66

    Prior Effective Dates:                         2/16/96, 2/14/05

Document Information

Effective Date:
2/1/2010
File Date:
2010-01-22
Last Day in Effect:
2010-02-01
Five Year Review:
Yes
Rule File:
4123-6-07_PH_FF_R_RU_20100122_1406.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 4123-6-07. Services and supplies never covered