Utah § 31A-22-637 Health care provider payment information -- Notice of admissions.

Utah Statutes

§ 31A-22-637 — Health care provider payment information -- Notice of admissions.

Utah § 31A-22-637

Title 31AInsurance Code

Ch. 31A-22Contracts in Specific Lines

Part 31A-22-6Accident and Health Insurance

This text of Utah § 31A-22-637 (Health care provider payment information -- Notice of admissions.) is published on Counsel Stack Legal Research, covering Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Utah Code Ann. § 31A-22-637 (2026).

Text

(1)For purposes of this section, "insurer" is as defined in Section 31A-22-636.

(2)(2)(a) An insurer shall provide its health care providers who are under contract with the insurer access to current information necessary for the health care provider to determine:

(2)(a)(i) the effect of procedure codes on payment or compensation before a claim is submitted for a procedure;

(2)(a)(ii) the plans and carrier networks that the health care provider is subject to as part of the contract with the carrier; and

(2)(a)(iii) in accordance with Subsection 31A-26-301.6(10)(f), the specific rate and terms under which the provider will be paid for health care services.

(2)(b) The information required by Subsection (2)(a) may be provided through a website, and if requested by the health care provider, n

Free access — add to your briefcase to read the full text and ask questions with AI

(1) For purposes of this section, "insurer" is as defined in Section 31A-22-636.
(2) (2)(a) An insurer shall provide its health care providers who are under contract with the insurer access to current information necessary for the health care provider to determine:
(2)(a)(i) the effect of procedure codes on payment or compensation before a claim is submitted for a procedure;
(2)(a)(ii) the plans and carrier networks that the health care provider is subject to as part of the contract with the carrier; and
(2)(a)(iii) in accordance with Subsection 31A-26-301.6(10)(f), the specific rate and terms under which the provider will be paid for health care services.
(2)(b) The information required by Subsection (2)(a) may be provided through a website, and if requested by the health care provider, notice of the updated website shall be provided by the carrier.
(3) (3)(a) An insurer may not require a health care provider by contract, reimbursement procedure, or otherwise to notify the insurer of a hospital in-patient emergency admission within a period of time that is less than one business day of the hospital in-patient admission, if compliance with the notification requirement would result in notification by the health care provider on a weekend or federal holiday.
(3)(b) Subsection (3)(a) does not prohibit the applicability or administration of other contract provisions between an insurer and a health care provider that require pre-authorization for scheduled in-patient admissions.