§ 26.1-47-02.4 — Method of dental payment option

North Dakota § 26.1-47-02.4

• Jurisdiction: North Dakota
• Title 26.1: Insurance
• Ch. 26.1-47: Preferred Provider Organizations

Text

1. A preferred provider arrangement may not include restrictions on methods of payment
from the dental insurer or third-party payor vendor to the dental provider in which the
only acceptable payment method is a credit card payment.
2. If initiating or changing payments to a dental provider using electronic funds transfer
payments, including virtual credit card payments, a dental insurer or the contracted
vendor shall:
a. Notify the dental provider if any fees are associated with a particular payment
method;
b. Advise the dental provider of the available methods of payment and provide clear
instructions to the dental provider as to how to select an alternative payment
method that does not impose fees or similar charges on the provider; and
c. Notify the dental provider if the dental insurer is sharing a part of the profit of the
fee charged by the credit card company to pay the claim.
3. A dental provider or a contracted vendor, which initiates or changes payments to a
dental provider through the automated clearinghouse network, under title 45, Code of
Federal Regulations, sections 162.1601 and 162.1602, may not charge a fee solely to
transmit the payment to a dental provider unless the dental provider has consented to
the fee. A dental provider's agent may charge reasonable fees if transmitting an
automated clearinghouse network payment related to transaction management, data
management, portal services, and other value-added services in addition to the bank
transmittal.
4. As used in this section, "dental insurer" and "dental provider" have the same meaning
as in section 26.1-36.9-01.