Re: Why Chat HIPAA

Posted by Why Chat (209.240.198.61) on July 01, 2003 at 14:21:17:

In Reply to: Why Chat HIPAA posted by HunterLynn on July 01, 2003 at 11:38:15:

Missouri

§ 375.991.
You just need the § # above, but you can keep for your records the sections I have selected from the statute.

"the term "statement" means any communication, notice statement, proof of loss, bill of lading, receipt for payment, invoice, account, estimate of damages, bills for services, diagnosis, prescription, hospital or doctor records, xrays, test results or other evidence of loss, injury or expense whether oral or written, including computer generated documents. As used in sections 375.991 to 375.994, the term "insurer" means any insurance company, health service corporation, health maintenance organization, preferred provider organization, self-insured plan as defined in the Federal Employee Retirement Security Act of 1974, 29 U.S.C. 1001 et seq., reciprocal exchange, fraternal benefit society, mutual insurance company operating pursuant to chapter 380, RSMo, or association licensed pursuant to chapter 383, RSMo.
2. For the purposes of sections 375.991 to 375.994, a person commits a "fraudulent insurance act" if [he] such person knowingly presents, causes to be presented, or prepares with knowledge or belief that it will be presented, to or by an insurer, purported insurer, broker, or any agent thereof, any [oral or written] statement [including computer generated documents] as part of, or in support of, an application for the issuance of, or the rating of, an insurance policy [for commercial or personal insurance] or health benefit plan, or a claim for payment or other benefit pursuant to an insurance policy [for commercial or personal insurance] or health benefit plan, which [he] such person knows to contain [materially] false information concerning any fact material thereto or if [he] such person conceals, for the purpose of misleading another, information concerning any fact material thereto.

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