{"data":{"id":"us-nc/n.c.-gen.-stat.-58-3-265","jurisdiction":"us-nc","citation":"N.C. Gen. Stat. § 58-3-265","heading":"Prohibition on managed care provider incentives.","body":"An insurer offering a health benefit plan may not offer or pay any type of material inducement, bonus, or other financial incentive to a participating provider to deny, reduce, withhold, limit, or delay specific medically necessary and appropriate health care services covered under the health benefit plan to a specific insured or enrollee. This section does not prohibit insurers from paying a provider on a capitated basis or withholding payment or paying a bonus based on the aggregate services rendered by the provider or the insurer's financial performance. (2001-446, s. 1.8.)","path":["Chapter 58. Insurance.","Article 3. General Regulations for Insurance."],"source_url":"https://www.ncleg.gov/EnactedLegislation/Statutes/HTML/BySection/Chapter_58/GS_58-3-265.html","current_through":"S.L. 2026-30","vintage":"","retrieved_at":"2026-08-27T18:06:53Z","sha256":"415148d2875f5195011bb097f81dda1a0ca957948739ee2e479be931b084b06f","source_id":"us-nc","stale":false,"prev":"us-nc/n.c.-gen.-stat.-58-3-260","next":"us-nc/n.c.-gen.-stat.-58-3-270"},"notice":"GroundRules: Original legal text. Not legal advice."}