Mont. Code Ann. § 33-2-2304
This is the official text of Mont. Code Ann. § 33-2-2304, part of Montana’s Code Ann — part of the compiled statutory law of Montana, published by the state as "Code Ann." Browse the sections below, each linked to its official government source.
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33-2-2304 Independent dispute resolution
Official statutory text
33-2-2304 . Independent dispute resolution. (1) If an insurer or health plan and air ambulance service enter into dispute resolution, the procedure in 33-2-2305 is to be used to determine the fair market price of the services that are the subject of the claim.
(2) Payment of the fair market price calculated pursuant to 33-2-2305 constitutes payment in full of the claim.
(3) A determination under this section is not binding on the insurer or health plan and the air ambulance service.
(4) Unless otherwise agreed to by the parties, each party shall:
(a) bear its own attorney fees and costs incurred under the procedure provided in 33-2-2305 ; and
(b) equally bear all fees and costs of the independent reviewer.
(5) As used in this section, "fair market price" means the value of the services provided as determined by the independent reviewer based on the factors provided in 33-2-2305 (6).
(2) Payment of the fair market price calculated pursuant to 33-2-2305 constitutes payment in full of the claim.
(3) A determination under this section is not binding on the insurer or health plan and the air ambulance service.
(4) Unless otherwise agreed to by the parties, each party shall:
(a) bear its own attorney fees and costs incurred under the procedure provided in 33-2-2305 ; and
(b) equally bear all fees and costs of the independent reviewer.
(5) As used in this section, "fair market price" means the value of the services provided as determined by the independent reviewer based on the factors provided in 33-2-2305 (6).
Status: in_force · Read it on the official government site
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