N.C. Gen. Stat. § 58-3-265. Prohibition on managed care provider incentives: General Regulations for Insurance – North Carolina

Status: Enacted
Year Enacted: 2001
File: Download

States that an insurer offering a health benefit plan may not offer or pay any type of material inducement, bonus or other financial incnetive to a participating provider to deny, reduce, withold, limit or delay specific medically necessary and appropriate health care services. It does not prohibit insurers from paying providers on a capitated basis or withholding payment or paying a bonus based on the aggregate services rendered by the provider.

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