{"data":{"id":"us-ut/utah-code-31a-22-637","jurisdiction":"us-ut","citation":"Utah Code § 31A-22-637","heading":"Health care provider payment information -- Notice of admissions.","body":"(1) For purposes of this section, \"insurer\" is as defined in Section 31A-22-636.\n(2)\n(a) An insurer shall provide its health care providers who are under contract with the insurer access to current information necessary for the health care provider to determine:\n(i) the effect of procedure codes on payment or compensation before a claim is submitted for a procedure;\n(ii) the plans and carrier networks that the health care provider is subject to as part of the contract with the carrier; and\n(iii) in accordance with Subsection 31A-26-301.6(10)(f), the specific rate and terms under which the provider will be paid for health care services.\n(b) The information required by Subsection (2)(a) may be provided through a website, and if requested by the health care provider, notice of the updated website shall be provided by the carrier.\n(3)\n(a) An insurer may not require a health care provider by contract, reimbursement procedure, or otherwise to notify the insurer of a hospital in-patient emergency admission within a period of time that is less than one business day of the hospital in-patient admission, if compliance with the notification requirement would result in notification by the health care provider on a weekend or federal holiday.\n(b) Subsection (3)(a) does not prohibit the applicability or administration of other contract provisions between an insurer and a health care provider that require pre-authorization for scheduled in-patient admissions.","path":["Title 31A Insurance Code","Chapter 31A-22 Contracts in Specific Lines","Part 31A-22-6 Accident and Health Insurance"],"source_url":"https://le.utah.gov/xcode/Title31A/Chapter22/31A-22-S637.html","current_through":"2026 General Session","vintage":"","retrieved_at":"2026-09-03T11:34:33Z","sha256":"49e6c26da0f2521e6476fd35cb92901cb132793476a25fff5485ccd2b62bb9a7","source_id":"us-ut","stale":false,"prev":"us-ut/utah-code-31a-22-636","next":"us-ut/utah-code-31a-22-638"},"notice":"GroundRules: Original legal text. Not legal advice."}