N.H. Admin. Code § Ins 208.02 - Petition for Hearing

(a) In the event of a dispute between a health care provider and an insurance carrier relative to the reasonable value of a service under RSA 329:31-b, either the provider or the insurance carrier may petition for a hearing under RSA 400-A:17 and Ins 208.

(b) The petitioner shall file an original and 2 copies of the petition, and the petition shall set forth the following information:

(1) The rate the petitioning party believes is commercially reasonable;

(2) The evidence and methodology for asserting that the fee is reasonable;

(3) The relevant facts relating to the billing code used;

(4) The efforts made by the parties to resolve the dispute prior to petitioning the commissioner for review, including a statement of whether the parties have engaged in mediation; and

(5) A certification that the other party and the data analytics division of the Insurance Department has been served with the petition.

(c) Any petition which does not contain the information required in (b) above shall be inadequate.

Notes

N.H. Admin. Code § Ins 208.02

Derived from Volume XL Number 33, Filed August 13, 2020, Proposed by #13073-A, Effective 7/27/2020.