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HB 538: "An Act relating to uniform claims forms, uniform standards, and uniform procedures for processing data relating to billing and payment of health care services; and providing for an effective date."

00HOUSE BILL NO. 538 01 "An Act relating to uniform claims forms, uniform standards, and uniform 02 procedures for processing data relating to billing and payment of health care 03 services; and providing for an effective date." 04 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF ALASKA: 05 * Section 1. AS 21.06 is amended by adding a new section to read: 06  Sec. 21.06.085. UNIFORM DATA AND PROCEDURES FOR HEALTH 07 CLAIMS. (a) The director shall adopt by regulation uniform claims forms, uniform 08 standards, and uniform procedures for the processing of data relating to billing for and 09 payment of health care services provided to state residents. A health insurer shall use 10 the uniform claims forms and comply with the uniform standards and procedures 11 established under this section. 12  (b) In this section, 13  (1) "health care services" has the meaning given in AS 21.86.900; 14  (2) "health insurance" has the meaning given "disability insurance" in

01 AS 21.12.050; 02  (3) "health insurer" means an insurer transacting the business of health 03 insurance, a health maintenance organization under AS 21.86, a hospital service 04 corporation under AS 21.87, a medical service corporation under AS 21.87, or a 05 combined medical service and hospital service corporation under AS 21.87. 06 * Sec. 2. The director of the division of insurance shall adopt the forms, standards, and 07 procedures required under sec. 1 of this Act by June 30, 1995. 08 * Sec. 3. This Act takes effect July 1, 1994.