Montana § 2-18-718 Independent Dispute Resolution

Montana Statutes

§ 2-18-718 — Independent Dispute Resolution

Montana·Title 2 GOVERNMENT STRUCTURE AND ADMINISTRATION·Ch. 18 STATE EMPLOYEE CLASSIFICATION, COMPENSATION, AND BENEFITS·Part 7 Group Insurance Generally

2-18-718 . Independent dispute resolution.

(1)If an insurer or health plan and air ambulance service enter into dispute resolution, the procedure in 2-18-719 is to be used to determine the fair market price of the services that are the subject of the claim.

(2)Payment of the fair market price calculated pursuant to 2-18-719 constitutes payment in full of the claim.

(3)A determination under this section is not binding on the insurer or health plan and the air ambulance service.

(4)Unless otherwise agreed to by the parties, each party shall:

(a)bear its own attorney fees and costs incurred under the procedure provided in 2-18-719 ; and

(b)equally bear all fees and costs of the independent reviewer.

(5)As used in this section, "fair market price" means the value of the services provide

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2-18-718 . Independent dispute resolution. (1) If an insurer or health plan and air ambulance service enter into dispute resolution, the procedure in 2-18-719 is to be used to determine the fair market price of the services that are the subject of the claim.
(2) Payment of the fair market price calculated pursuant to 2-18-719 constitutes payment in full of the claim.
(3) A determination under this section is not binding on the insurer or health plan and the air ambulance service.
(4) Unless otherwise agreed to by the parties, each party shall:
(a) bear its own attorney fees and costs incurred under the procedure provided in 2-18-719 ; and
(b) equally bear all fees and costs of the independent reviewer.
(5) As used in this section, "fair market price" means the value of the services provided as determined by the independent reviewer based on the factors provided in 2-18-719 (6).

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