636.214 Provider agreements.
636.214 Provider agreements.
(1) All providers offering medical services to members under a discount medical plan must provide such services pursuant to a written agreement. The agreement may be entered into directly by the provider or by a provider network to which the provider belongs.
(2) A provider agreement between a discount medical plan organization and a provider must provide the following:
(a) A list of the services and products to be provided at a discount.
(b) The amount or amounts of the discounts or, alternatively, a fee schedule which reflects the provider’s discounted rates.
(c) That the provider will not charge members more than the discounted rates.
(3) A provider agreement between a discount medical plan organization and a provider network shall require that the provider network have written agreements with its providers which:
(a) Contain the terms described in subsection (2).
(b) Authorize the provider network to contract with the discount medical plan organization on behalf of the provider.
(c) Require the network to maintain an up-to-date list of its contracted providers and to provide that list on a monthly basis to the discount medical plan organization.
(4) The discount medical plan organization shall maintain a copy of each active provider agreement into which it has entered.
History. s. 31, ch. 2004-297; s. 9, ch. 2005-232.