§ 27-20.10-5 - Third-party rights and responsibilities. - Rhode Island Statutes

SECTION 27-20.10-5

   § 27-20.10-5  Third-party rights andresponsibilities. – (a) A third-party, having itself been granted access to a provider's healthcare services and contractual discounts pursuant to a provider networkcontract, that subsequently grants access to another third-party is obligatedto comply with the rights and responsibilities imposed on contracting entitiesunder § 27-20.10-4 and 27-20.10-6.

   (b) A third-party that enters into a contract with anotherthird-party to access a provider's health care services and contractualdiscounts pursuant to a provider network contract is obligated to comply withthe rights and responsibilities imposed on third-parties under this §27-20.10-5.

   (c) A third-party will provide to the contracting entity thelocation of a website, or identify another readily available mechanism such asa toll-free telephone number, which the contracting entity will make availableto the providers under the provider network contract accessed through thecontracting entity. The website or other readily available mechanism willidentify the name of the person or entity to which the third-party subsequentlygrants access to the provider's health care services and contractual discountspursuant to the provider network contract.

   (2) The website will allow the providers under thecontracting entity's provider network contract access to the informationreferenced in (c)(1) above, and will be updated on a routine basis asadditional persons or entities are granted access. The website must be updatedto reflect all current persons and entities with access every ninety (90) days.Upon request, a contracting entity shall make updated access informationavailable to a provider via telephone or through direct notification.