N.C. Gen. Stat. § 58-3-265

Current through Session Law 2024-56
Section 58-3-265 - Prohibition on managed care provider incentives

An insurer offering a health benefit plan may not offer or pay any type of material inducement, bonus, or other financial incentive to a participating provider to deny, reduce, withhold, limit, or delay specific medically necessary and appropriate health care services covered under the health benefit plan to a specific insured or enrollee. This section does not prohibit insurers from paying a provider on a capitated basis or withholding payment or paying a bonus based on the aggregate services rendered by the provider or the insurer's financial performance.

N.C. Gen. Stat. § 58-3-265

Added by 2001-446, s. 1.8, eff. 3/1/2002.