Iowa Administrative Rules (Last Updated: December 07, 2016) |
Department 181. Commerce Department |
Division 191. Insurance Division |
Chapter 35. ACCIDENT AND HEALTH INSURANCE |
Section 191.35.32. Treatment options.
Latest version.
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35.32(1) A carrier shall not prohibit a participating provider from or penalize a participating provider for discussing treatment options with covered persons, irrespective of the carrier’s position on the treatment options, or from advocating on behalf of covered persons within the utilization review or grievance processes established by the carrier or a person contracting with the carrier.
35.32(2) A carrier shall not penalize a provider because the provider, in good faith, reports to state or federal authorities any act or practice by the carrier that, in the opinion of the provider, jeopardizes patient health or welfare.