This text of Louisiana § 37:771.1 (Dentist fees; discount to an uninsured individual; effect on a dentist's contracted) is published on Counsel Stack Legal Research, covering Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
§771.1. Dentist fees; discount to an uninsured individual; effect on a dentist's contracted
reimbursement amount
A. Notwithstanding any state or federal provisions to the contrary, a contracted
dentist licensed to practice dentistry by the board may offer a discount for dental care
services rendered to an uninsured individual. Any such discount granted by a contracted
dentist to an uninsured individual shall not reduce the contracted reimbursement amount
between a dentist and a health or dental insurance issuer for dental care services rendered to
the issuer's enrollees, insureds, and subscribers.
B. For the purposes of this Section:
(1)"Contracted dentist" means a dentist licensed to practice dentistry by the board
who has executed a direct, specific contract with a health insurance issu
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§771.1. Dentist fees; discount to an uninsured individual; effect on a dentist's contracted
reimbursement amount
A. Notwithstanding any state or federal provisions to the contrary, a contracted
dentist licensed to practice dentistry by the board may offer a discount for dental care
services rendered to an uninsured individual. Any such discount granted by a contracted
dentist to an uninsured individual shall not reduce the contracted reimbursement amount
between a dentist and a health or dental insurance issuer for dental care services rendered to
the issuer's enrollees, insureds, and subscribers.
B. For the purposes of this Section:
(1) "Contracted dentist" means a dentist licensed to practice dentistry by the board
who has executed a direct, specific contract with a health insurance issuer.
(2) "Contracted reimbursement amount" means the quantity of remuneration a health
or dental insurance issuer has agreed to pay a dentist for rendering dental care services in a
direct, specific agreement between a dentist and a health or dental insurance issuer.
(3) "Enrollee", "insured", or "subscriber" means an individual who is enrolled or
insured by a health or dental insurance issuer or who is subscribed to a dental service
contractor for dental insurance coverage or prepaid dental services.
(4) "Health or dental insurance issuer" means any entity that offers health or dental
insurance coverage through a policy, contract, dental benefit plan, or certificate of insurance
subject to state law that regulates the business of insurance. For purposes of this Section, a
"health or dental insurance issuer" shall include but not be limited to a dental service
contractor as defined and certified pursuant to Subpart G of Part III of Chapter 4 of Title 22
of the Louisiana Revised Statutes of 1950.