Georgia § 33-20c-4 Information and searchable format for directories; exclusion for dental plans

Georgia Statutes

§ 33-20c-4 — Information and searchable format for directories; exclusion for dental plans

(a)The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format:

(1)For healthcare professionals:

(A)Name;

(B)Gender;

(C)Contact information;

(D)Participating office location or locations;

(E)Specialty, if applicable;

(F)Board certifications, if applicable;

(G)Medical group affiliations, if applicable;

(H)Participating facility affiliations, if applicable;

(I)Languages spoken other than English by the healthcare professional or clinical staff, if applicable;

(J)Tier; and (K) Whether they are accepting new patients;

(2)For hospitals:

(A)Hospital name;

(B)Hospital type, such as acute, rehabilitation, children's, or cancer;

(C)Participating hospital location;

(D)Hospital accreditation status; (

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(a) The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format: (1) For healthcare professionals: (A) Name; (B) Gender; (C) Contact information; (D) Participating office location or locations; (E) Specialty, if applicable; (F) Board certifications, if applicable; (G) Medical group affiliations, if applicable; (H) Participating facility affiliations, if applicable; (I) Languages spoken other than English by the healthcare professional or clinical staff, if applicable; (J) Tier; and (K) Whether they are accepting new patients; (2) For hospitals: (A) Hospital name; (B) Hospital type, such as acute, rehabilitation, children's, or cancer; (C) Participating hospital location; (D) Hospital accreditation status; (E) Telephone number; and (F) Health benefit plan surprise bill rating; and (3) For facilities other than hospitals: (A) Facility name; (B) Facility type; (C) Types of services performed; (D) Participating facility location or locations; and (E) Telephone number. (b) Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.

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