La. Admin. Code tit. 40 § I-315

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-315 - Medical Documentation Necessary for Billing Adjudication

A. Medical documentation includes all medical reports and records permitted or required in accordance with Title 40 of the Louisiana Administrative Code.

B. Any request by the insurance carrier for additional documentation to process a medical bill shall conform to the requirements of Section 311. C of this Chapter.

C. It is the obligation of insurance carriers to furnish its agents with any documentation necessary for the resolution of a medical bill.

D. Health care providers, health care facilities, third-party biller/assignees, and claims administrators and their agents must comply with all applicable federal and state rules related to privacy, confidentiality, and security.

La. Admin. Code tit. 40, § I-315

Promulgated by the La. Workforce Commission, Office of Workers' Compensation, LR 37:3547 (December 2011).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1203.2.