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27-1-16
Section 27-1-16 Standard health insurance claim form; electronic claims form; various claim
forms. (a)(1) The Commissioner of the Department of Insurance shall prescribe a standard health
insurance claim form to be used by all hospitals. The forms shall be prescribed in a format
which allows for the use of generally accepted diagnosis and treatment coding systems by providers
of health care and payors. The standard form shall be accepted and used by all insurers doing
business in the State of Alabama and by all state agencies which pay providers of health care
for hospital services. (2) The Commissioner of the Department of Insurance shall also prescribe
a format for all health insurance claims transmitted or submitted for payment by electronic
or electro-mechanical means. Such a format shall be used by all insurers doing business in
the State of Alabama and by all state agencies which pay providers of health care for hospital
services. (b) An advisory committee of five persons, two...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-1-16.htm - 3K - Match Info - Similar pages
27-26-5
Section 27-26-5 Reports of judgments and settlements; confidentiality; penalty. (a) Any insurance
company which sells medical liability insurance to Alabama physicians or their professional
corporations or professional associations, or to hospitals or other health care providers
shall be required to report to the state licensing agency which issues the license of the
physician, hospital, or other health care provider any final judgment or any settlement in
or out of court resulting from a claim or action for damages for personal injuries caused
by an error, omission, or negligence in the performance of professional services with or without
consent rendered by its policyholder within 30 days after entry of a judgment in court or
agreement to settle a claim in or out of court. (b) The report rendered to the appropriate
state agency shall consist of the name of the policyholder, or if the policyholder is a professional
corporation or professional association, the name of the physician or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-26-5.htm - 2K - Match Info - Similar pages
22-21-300
Section 22-21-300 Disclosure of policies to patients. (a) As used in this section, the following
terms shall have the following meanings: (1) HOSPITAL. Any facility as defined in Section
22-21-20. (2) HOSPITAL BILL. A written statement provided to a patient after services are
rendered by the hospital describing the services and the payment due for those services. (3)
UNINSURED PATIENT. A person receiving care at a hospital who does not have any third party
source for payment of a hospital bill. (b)(1) Each hospital must make available written information
regarding its financial assistance policies. Each hospital bill or other summary of charges
to a patient shall include a statement that a patient who meets certain income criteria may
qualify for the financial assistance policy of the hospital. (2) Each hospital shall conspicuously
post a sign in the admission and registration areas of the hospital with the following notice:
"You may be eligible for financial assistance under the terms...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-300.htm - 1K - Match Info - Similar pages
6-5-542
Section 6-5-542 Definitions. For the purposes of this article, the following terms shall have
the meanings respectively ascribed to them by this section: (1) HEALTH CARE PROVIDER. A medical
practitioner, dental practitioner, medical institution, physician, dentist, hospital, or other
health care provider as those terms are defined in Section 6-5-481. (2) STANDARD OF CARE.
The standard of care is that level of such reasonable care, skill, and diligence as other
similarly situated health care providers in the same general line of practice, ordinarily
have and exercise in like cases. A breach of the standard of care is the failure by a health
care provider to comply with the standard of care, which failure proximately causes personal
injury or wrongful death. This definition applies to all actions for injuries or damages or
wrongful death whether in contract or tort and whether based on intentional or unintentional
conduct. (3) FUTURE DAMAGES. Damages for future medical treatment, care,...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/6-5-542.htm - 1K - Match Info - Similar pages
6-5-544
Section 6-5-544 Recovery of noneconomic losses; limitation of such losses; mistrial if jury
advised of limitation. (a) In any action for injury whether in contract or in tort against
a health care provider based on a breach of the standard of care, the injured plaintiff and
spouse upon proper proof may be entitled to recover noneconomic losses to compensate for pain,
suffering, inconvenience, physical impairment, disfigurement, loss of consortium, and other
nonpecuniary damage. (b) In no action shall the amount of recovery for noneconomic losses,
including punitive damages, either to the injured plaintiff, the plaintiff's spouse, or other
lawful dependents or any of them together exceed the sum of $400,000. Plaintiff shall not
seek recovery in any amount greater than the amounts described herein for noneconomic losses.
During the trial of any action neither the court nor any party shall advise or infer to the
jury that it may not return an award for noneconomic losses in excess of an...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/6-5-544.htm - 1K - Match Info - Similar pages
22-21-336
Section 22-21-336 Transfer of funds and assets to authority. Any municipality, county, or educational
institution, any public hospital corporation and any other public agency, authority or body
is hereby authorized to transfer and convey to any authority, with or without consideration:
(1) Any health care facilities and other properties, real or personal, and all funds and assets,
tangible or intangible, relative to the ownership or operation of any such health care facilities
that may be owned by such municipality, county, educational institution, public hospital corporation
or other public agency, authority or body, as the case may be, or that may be jointly owned
by any two or more thereof, including, without limiting the generality of the foregoing, any
certificates of need, assurances of need or other similar rights appertaining or ancillary
thereto, irrespective of whether they have been exercised; and (2) Any funds owned or controlled
by such municipality, county, educational...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-21-336.htm - 2K - Match Info - Similar pages
22-8A-11
Section 22-8A-11 Surrogate; requirements; attending physician consulted, intent of patient
followed; persons who may serve as surrogate; priority; validity of decisions; liability;
form; declaratory and injunctive relief; penalties. (a) If no advance directive for health
care has been made, or if no duly appointed health care proxy is reasonably available, or
if a valid advance directive for health care fails to address a particular circumstance, subject
to the provisions of subsection (c) hereof, a surrogate, in consultation with the attending
physician, may, subject to the provisions of Section 22-8A-6, determine whether to provide,
withdraw, or withhold life-sustaining treatment or artificially provided nutrition and hydration
if all of the following conditions are met: (1) The attending physician determines, to a reasonable
degree of medical certainty, that: a. The individual is no longer able to understand, appreciate,
and direct his or her medical treatment, and b. The individual...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/22-8A-11.htm - 9K - Match Info - Similar pages
25-5-314
Section 25-5-314 Contracts for medical services at mutually agreed rates. Notwithstanding any
other provisions of this article to the contrary, any employer, workers' compensation insurance
carrier, self-insured employer, or group fund, may contract with physicians, hospitals, and
any other health care provider for the provision of medical services to injured workers at
any rates, fees, or levels of reimbursement which shall be mutually agreed upon between the
physician, hospitals, and any other health care provider and the employer, workers' compensation
insurance carrier, self-insured employer, or group fund. (Acts 1992, No. 92-537, p. 1082,
ยง46.)...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/25-5-314.htm - 964 bytes - Match Info - Similar pages
27-14-11.1
Section 27-14-11.1 Contents of policies - Denial or reduction of benefits due to Medicaid eligibility
void. (a) For purposes of this section, "private insurer" is defined as any of the
following: (1) Any commercial insurance company offering health or casualty insurance to individuals
or groups, including both experience-rated contracts and indemnity contracts. (2) Any profit
or nonprofit prepaid plan offering either medical services or full or partial payment for
the diagnosis or treatment of an injury, disease, or disability. (3) Any organization administering
health or casualty insurance plans for professional associations, unions, fraternal groups,
employer-employee benefit plans, and any similar organization offering these payments or services,
including self-insured and self-funded plans. (4) Any health insurer, including group health
plans, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974,
self-insured plans, service benefit plans, managed care...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-14-11.1.htm - 3K - Match Info - Similar pages
27-51-1
Section 27-51-1 Payment for services of licensed physician assistant. (a) An insurance policy
or contract providing for third-party payment or prepayment of health or medical expenses
shall include a provision for the payment to a supervising physician for necessary medical
or surgical services that are provided by a licensed physician assistant practicing under
the supervision of the physician, and pursuant to the rules, regulations, and parameters for
physician assistants, if the policy or contract pays for the same care and treatment provided
by a licensed physician or doctor of osteopathy. (b) An insurance policy or contract subject
to this section shall not impose a practice or supervision restriction which is inconsistent
with or more restrictive than provided by law. (c) This section shall apply to services provided
under a policy or contract delivered, continued, or renewed in this state on or after August
1, 1997, and to any existing policy or contract, on the policy's or...
alisondb.legislature.state.al.us/alison/CodeOfAlabama/1975/27-51-1.htm - 2K - Match Info - Similar pages
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