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O.C.G.A. § 33-20C-4

Information and searchable format for directories; exclusion for dental plans

Redline — December 1, 2018 → current.View current text →
Current — December 1, 2020
As of December 1, 2018
(1) The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format: For health care professionals: Name;
(1) The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format: For healthcare professionals: Name;
(2) Gender;
(2) Gender;
(3) Contact information;
(3) Contact information;
(4) Participating office location or locations;
(4) Participating office location or locations;
(5) Specialty, if applicable;
(5) Specialty, if applicable;
(6) Board certifications, if applicable;
(6) Board certifications, if applicable;
(7) Medical group affiliations, if applicable;
(7) Medical group affiliations, if applicable;
(8) Participating facility affiliations, if applicable;
(8) Participating facility affiliations, if applicable;
(9) Languages spoken other than English by the health care professional or clinical staff, if applicable;
(9) Languages spoken other than English by the healthcare professional or clinical staff, if applicable;
(10) Tier; and
(10) Tier; and
(11) Whether they are accepting new patients;
(11) Whether they are accepting new patients;
(12) For hospitals: Hospital name;
(12) For hospitals: Hospital name;
(13) Hospital type, such as acute, rehabilitation, children's, or cancer;
(13) Hospital type, such as acute, rehabilitation, children's, or cancer;
(14) Participating hospital location;
(14) Participating hospital location;
(15) Hospital accreditation status; and
(15) Hospital accreditation status;
(16) Telephone number; and
(16) Telephone number; and
(17) Health benefit plan surprise bill rating; and
(17) For facilities other than hospitals: Facility name;
(18) For facilities other than hospitals: Facility name;
(18) Facility type;
(19) Facility type;
(19) Types of services performed;
(20) Types of services performed;
(20) Participating facility location or locations; and
(21) Participating facility location or locations; and
(21) Telephone number.
(22) Telephone number.
(22) Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.
(23) Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.

Current official text: Official Code of Georgia Annotated (LexisNexis). Digitized from the Internet Archive scan of the OCGA. Reproduced from public-domain Georgia statutes; confirm against the official source for the current text. Not legal advice.