Mass. Gen. Laws ch. 175, § 108M. Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers: Insurance – Massachusetts

Status: Enacted
Year Enacted: 2012
Year Amended: 2013
File: Download

To the extent permissible under applicable state and federal privacy laws, carriers shall disclose patient-level data to providers in their network solely for the purpose of carrying out treatment, coordinating care among providers and managing the care of their own patient panel; provided, that an individual provider shall only receive patient-level data related to patients treated by said provider. The division may require carriers to disclose such information through the all-payer claims database established under section 12 of chapter 12C.


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