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us-gu · Through P.L. 38-133 (June 4, 2026)

10 GCA § 9904: Billing of Patients Allowed.

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Where this section sits in the code
  1. Title 10: Health and Safety
  2. Division 1 - Public Health
  3. Chapter 9: Consumer Health Protection Act
  4. ARTICLE 9: HEALTH CARE PROMPT PAYMENT ACT OF 2000

(a) No patient receiving care from a Health Care Provider, may be billed for the same Clean claim, or portion thereof, submitted for payment to a Health Plan Administrator, unless the provider has elected to terminate that person’s efforts to collect interest penalties as provided for in § 9902(g) of this Article, or a period of ninety (90) days has lapsed from the date of submission of a Clean Claim for payment. This provision shall not apply to any Clean Claim or portion of a Clean Claim that is due and payable by the patient as a benefit limitation, deductible, co-payment, non-covered benefit, patient share, or personal comfort or convenience item.

(b) A Health Care Provider may not charge more than twelve percent (12%) interest per annum to any patient as a penalty for their failure to make prompt payment of a Clean Claim, or portion thereof, for which the patient is responsible for paying.

(c) A Health Care Provider may not charge both the Health Plan Administrator and the patient interest penalties for the same Clean Claim, or portion thereof, submitted for payment to either party.

Collected 2026-09-27T02:54:18Z. Source file · JSON

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