| (C) a disclosure listing which providers are accepting
new patients; and
(15) a statement that, except for emergencies, the
network must arrange for services, including referrals to specialists,
to be accessible to an employee on a timely basis on request and within
the time appropriate to the circumstances and condition of the injured
employee, but not later than 21 days after the date of the request.
(i) An employer or carrier, as applicable, must deliver
the notice of network requirements and acknowledgment form to the
employer's employees, and document:
(1) the method of delivery;
(2) to whom the notice was delivered;
(3) the location of the delivery; and
(4) the date or dates of delivery.
(j) The failure of an employer or carrier, as applicable,
to establish a standardized process for complying with subsection
(i) of this section creates a rebuttable presumption that the employee
has not received the notice of network requirements and is not subject
to network requirements.
(k) A dispute regarding whether an employer or carrier
provided the information required by this section to an employee may
be resolved by requesting a benefit review conference as provided
by Chapter 141 of this title (relating to Dispute Resolution--Benefit
Review Conference).
|
