§ 26.1-49-04 — Provider contracts

North Dakota § 26.1-49-04

• Jurisdiction: North Dakota
• Title 26.1: Insurance
• Ch. 26.1-49: Health Provider Cooperatives

Text

A health provider cooperative and its members may execute service contracts permitting the
provider members to provide some or all of their health care services through the health
provider cooperative to the enrollees, members, subscribers, or insureds of a nonprofit health
service plan, health maintenance organization, accident and health insurance company, or the
state medical assistance program. Each purchaser may execute contracts for the purchase of
health services from a health provider cooperative in accordance with this section. A contract
between a health provider cooperative and a purchaser must provide for payment by the
purchaser on a substantially capitated or similar risk-sharing basis.
1. Every contract between a health provider cooperative and a purchaser must be in
writing and must provide that if the purchaser fails to pay for health care services as
set forth in the contract, the enrollee is not liable to the provider for any sums owed by
the purchaser.
2. A member provider, agent, or trustee, or assignee thereof, may not maintain any action
at law against an enrollee to collect sums owed by the purchaser.