Louisiana § 22:982 Required proof of loss forms

Louisiana Statutes

§ 22:982 — Required proof of loss forms

Louisiana § 22:982

Title 22Insurance

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Bluebook

La. Stat. Ann. § 22:982 (2026).

Text

§982. Required proof of loss forms

A.The commissioner of insurance in consultation with the secretary of the Louisiana Department of Health shall prescribe the use of the National Uniform Bill-82 (UB-82) or its successor, and the current Health Care Financing Administration (HCFA) Form 1500 or its successor, as the uniform proof of loss forms. After July 1, 1994, no insurance company writing policies of health and accident insurance or any administrator of a health benefit plan may require proof of loss to be on any claim form but the UB-82, or its successor, or HCFA Form 1500, or its successor, whichever is appropriate for the services rendered.

B.The commissioner of insurance, as allowed by the Health Insurance Portability and Accountability Act of 1996, shall review the uniform proof

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§982. Required proof of loss forms
A. The commissioner of insurance in consultation with the secretary of the Louisiana
Department of Health shall prescribe the use of the National Uniform Bill-82 (UB-82) or its
successor, and the current Health Care Financing Administration (HCFA) Form 1500 or its
successor, as the uniform proof of loss forms. After July 1, 1994, no insurance company
writing policies of health and accident insurance or any administrator of a health benefit plan
may require proof of loss to be on any claim form but the UB-82, or its successor, or HCFA
Form 1500, or its successor, whichever is appropriate for the services rendered.
B. The commissioner of insurance, as allowed by the Health Insurance Portability
and Accountability Act of 1996, shall review the uniform proof of loss forms prescribed
under Subsection A of this Section, seek comments and suggestions from insurers, providers,
and consumer groups about proposed improvements to the form, and determine whether any
revisions should be made to the state assignable fields of either form that would simplify or
otherwise improve the form. If the commissioner determines that the state assignable
portions of either form should be revised, he shall make a revision request to the State
Uniform Bill Implementation Committee and if approved, prescribe the use of the revised
form by all insurance companies writing policies of health and accident insurance in
Louisiana. After six months from the date that the commissioner has prescribed the use of
any revised form, no insurance company writing policies of health or accident insurance or
any administrator of a health benefit plan may require proof of loss to be on any claim form
but the revised form when that is the appropriate form for the services rendered.
C. Each health care provider or hospital shall supply the claim form described in
Subsection A of this Section and an itemized statement of all charges after the initial filing
of the claim rendered to any person who received services from such health care provider or
hospital within ten days of receipt of written request from such person or his authorized
representative.
NOTE: Former R.S. 22:982 redesignated as R.S. 22:332 by Acts 2008, No.
415, §1, eff. Jan. 1, 2009.

Legislative History

Acts 1993, No. 388, §1; Acts 1997, No. 1138, §1, eff. July 14, 1997; Acts 2003, No. 1149, §1; Redesignated from R.S. 22:214.3 by Acts 2008, No. 415, §1, eff. Jan. 1, 2009.