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35-11-371
Section 35-11-371 Perfection of lien. (a) For the purposes of this section, the following terms
shall have the following meanings: (1) HEALTH CARE PAYOR. A health care insurer, health maintenance
organization, or health care service plan organized under Article 6, Chapter 20, Title 10A,
authorized to provide health care coverage in the state. (2) SATISFY THE CLAIM. Receipt by
the hospital of either of the following: a. Full payment for services as billed. b. If the
hospital has a contract with the injured person's health care payor, payment together with
all credits, discounts, and contractual adjustments that the patient's bill would be entitled
under the contract, including recoupments, between the hospital and the patient's health care
payor which extinguish the patient's obligation for the services rendered. (b) Unless specifically
contrary to any contractual agreement between the hospital and the injured person's health
care payor or unless contrary to any statute or governmental...
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22-21-265
Section 22-21-265 Certificates of need - Required for new institutional health service. (a)
On or after July 30, 1979, no person to which this article applies shall acquire, construct,
or operate a new institutional health service, as defined in this article, or furnish or offer,
or purport to furnish a new institutional health service, as defined in this article, or make
an arrangement or commitment for financing the offering of a new institutional health service,
unless the person shall first obtain from the SHPDA a certificate of need therefor. Notwithstanding
any provisions of this article to the contrary, those facilities and distinct units operated
by the Department of Mental Health, and those facilities and distinct units operating under
contract or subcontract with the Department of Mental Health where the contract constitutes
the primary source of income to the facility, shall not be required to obtain a certificate
of need under this article. (b) Notwithstanding all other...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-265.htm - 15K - Match Info - Similar pages
27-3A-5
Section 27-3A-5 Standards for utilization review agents. (a) Except as provided in subsection
(b), all utilization review agents shall meet the following minimum standards: (1) Notification
of a determination by the utilization review agent shall be mailed or otherwise communicated
to the provider of record or the enrollee or other appropriate individual within two business
days of the receipt of the request for determination and the receipt of all information necessary
to complete the review. (2) Any determination by a utilization review agent as to the necessity
or appropriateness of an admission, service, or procedure shall be reviewed by a physician
or determined in accordance with standards or guidelines approved by a physician. (3) Any
notification of determination not to certify an admission, service, or procedure shall include
the principal reason for the determination and the procedures to initiate an appeal of the
determination. (4) Utilization review agents shall maintain...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-3A-5.htm - 4K - Match Info - Similar pages
25-5-81
Section 25-5-81 Determination of disputed compensation claims generally. (a) Commencement of
action in circuit court. (1) PROCEDURE. In case of a dispute between employer and employee
or between the dependents of a deceased employee and the employer with respect to the right
to compensation under this article and Article 2 of this chapter, or the amount thereof, either
party may submit the controversy to the circuit court of the county which would have jurisdiction
of a civil action in tort between the parties. The controversy shall be heard and determined
by the judge who would hear and determine a civil action between the same parties arising
out of tort, and, in case there is more than one judge of the court, the controversies shall
be set and assigned for hearing under the same rules and statutes that civil actions in tort
are set and assigned. The court may hear and determine the controversies in a summary manner.
The decision of the judge hearing the same shall be conclusive and...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-81.htm - 6K - Match Info - Similar pages
22-21-295
Section 22-21-295 Obligation of regional referral hospitals. As a condition of accepting the
procedures of this article, each regional referral hospital in Alabama shall be obligated
to admit for treatment all Alabama residents who meet the eligibility standards established
pursuant to Section 22-21-294 and who meet the medical standards for admission to such institutions.
(Acts 1979, No. 79-808, p. 1487, §6.)...
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22-21-296
Section 22-21-296 Procedure for settlement of disputes. All disputes between a county and a
regional referral hospital shall be resolved by action in the circuit court of the county
in which the regional referral hospital is located. (Acts 1979, No. 79-808, p. 1487, §7.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-296.htm - 580 bytes - Match Info - Similar pages
12-21-5
Section 12-21-5 Copy of hospital records - Admissibility. When the original would be admissible
in any case or proceeding in a court in the state, a certified copy of the hospital records
of any hospital organized or operated under or pursuant to the laws of Alabama, including
records of admission, medical, hospital, occupational, disease, injury and disability histories,
temperature and other charts, X rays and written interpretations thereof, pictures, photographs,
files, written orders, directions, findings and reports and interpretations of physicians,
doctors, surgeons, pathologists, radiologists, specialists, dentists, technicians and nurses,
as well as of all employees of such hospital, forming a part of such hospital records as to
the health, condition, state, injuries, sickness, disease, mental, physical and nervous disorders,
duration and character of disabilities, diagnosis, prognosis, progress, wounds, cuts, contusions,
lacerations, breaks, loss of blood, incisions,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/12-21-5.htm - 2K - Match Info - Similar pages
22-21-219
Section 22-21-219 Payment of public funds to physicians prohibited; collection of costs, etc.,
from indigent patient, etc. No physician shall be entitled to receive any public funds as
a fee for attending or treating an indigent patient hospitalized under the provisions of this
article, it being the intent and purpose of this article that all such professional medical
services shall be furnished by such physician without cost to the state or any participating
county, but this shall not be construed as prohibiting any physician, hospital or other interested
party from collecting from such patient, or from relatives or others upon whom such patient
is legally dependent or from other third parties the amount of any charges for hospitalization
or professional medical services rendered to such patient; provided, that if any hospital
shall collect from any such indigent patient, or from relatives or others upon whom such patient
is legally dependent or from other third parties any charges...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-219.htm - 1K - Match Info - Similar pages
22-52-17
Section 22-52-17 Public facilities other than Department of Mental Health not required to perform
mental evaluations; exceptions. Notwithstanding any other language in this article, the following
limitations shall apply. No public facility other than the Department of Mental Health may
be required (as distinguished from authorized) by the probate court to perform any mental
evaluation of a person sought to be committed for use in any final commitment hearing except:
(1) In an emergency case wherein no other source or agency which is funded or mandated by
federal law, state law or both to provide such services is objectively capable of performing
such evaluation within the time limit imposed by law; or (2) In an emergency case wherein
no other source or agency operates to perform such evaluation in such emergency case, a public
hospital may be required to accept a person sought to be committed for the provision of hospital
care, if such person is admitted to the public hospital or other...
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45-2-171.20
Section 45-2-171.20 Definitions. For the purposes of this subpart, unless otherwise indicated,
the following terms shall have the meanings respectively ascribed to them by this section:
(1) "Medically indigent person" means any natural person who is a resident of Baldwin
County and who is ill, injured, and suffering whose condition can be helped or relieved by
treatment in an approved hospital, but is certified as being unable to pay the cost of hospital
treatment, or who is able to pay only a portion of the cost of such hospital treatment. (2)
"County Commission" means the County Commission of Baldwin County, as it is duly
constituted on July 1, 1984, and any subsequently duly constituted governing body of Baldwin
County. (Act 84-733, p. 70, §1.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/45-2-171.20.htm - 1K - Match Info - Similar pages
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