376.1403. Referrals, standardized information used, content, when. - Missouri Statutes

Referrals, standardized information used, content, when.

376.1403. 1. Every health care provider and health carrier thatconducts business in this state shall use standardized information forreferrals. As used in this section, the terms "health care provider" and"health carrier" shall have the meaning given to such terms in section376.1350.

2. The referral information shall contain the following:

(1) The name of the insured;

(2) The name, address and phone number of the health carrier;

(3) The identification number and group number of the insured;

(4) The type of referral;

(5) The name, address and phone number of the health care providerreferring the insured;

(6) The name, address and phone number of the health care provider towhom the insured was referred to;

(7) The number of visits requested and authorized; and

(8) The health carrier's authorization number.

3. All health care providers and health carriers shall use thestandardized referral information after January 1, 2002.

(L. 1999 H.B. 191 § 376.1406)