Rules and Regulations of the State of Georgia
 

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<xmp>.</xmp> <form name="form1" method="post" action="120-2-59?urlRedirected=yes&amp;data=admin&amp;lookingfor=120-2-59" id="form1"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTY5ODkwOTM2Nw8WAh4Ec3BhbQINFgJmD2QWAgIFDw8WAh4EVGV4dAUFNSArIDhkZGSao+vRw+Ungs6ktOH2rIA6YIb0ug==" /> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="EEBB6393" /> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="/wEWCALH08yaDwLniKOhBALV5cpNAoa5iIEFAoznisYGAsrv5u0MAsrv4u0MAsrv3u0M3gLKuJAyUDvZCXnqWc5n6yeGvDs=" /> <div class='popup'> <div class='cnt223'> <div style="margin-bottom:6px;"> <img alt="Rules and Regulations of the State of Georgia" src="/images/new.gif"/> </div> <div class="header"> Terms and Conditions of Agreement for Access to Rules and Regulations of the State of Georgia Website </div> <div class="scroll"> <p>(Note: certain features of this site have been disabled for the general public to prevent digital piracy. If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website. </p> <p> You agree that you will not sell or license anything that you download, print, or copy from this website.</p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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Sections <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-2-9&amp;title=33#" target="_newtab">33-2-9</a> and 33-24-10.1.</P> <h2><a href="/GAC/120-2-59-.02" name="120-2-59-.02" title="120-2-59-.02">Rule 120-2-59-.02 Purpose</a></h2> <P>The purpose of this Regulation Chapter is to implement the provisions of Chapter 24 of Title 33 of the Official Code of Georgia Annotated, provide for a standardized form to be used in the billing and reimbursement of health care, reduce the number of forms utilized and increase efficiency in the reimbursement of health care through standardization.</P> <h2><a href="/GAC/120-2-59-.03" name="120-2-59-.03" title="120-2-59-.03">Rule 120-2-59-.03 Applicability and Scope</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.03(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Except as otherwise specifically provided, this Regulation Chapter shall apply to all issuers, health care practitioners, and institutional care practitioners.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.03(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Nothing in this Regulation Chapter shall prohibit an issuer, health care practitioner or institutional care practitioner from using alternative forms or procedures for filing claims as are specified in a written contract between the health care practitioner or institutional care practitioner and issuer.</td> </tr> </table> <h2><a href="/GAC/120-2-59-.04" name="120-2-59-.04" title="120-2-59-.04">Rule 120-2-59-.04 Definitions</a></h2> <P>For the purposes of O.C.G.A. <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=33-24-10.1&amp;title=33#" target="_newtab">33-24-10.1</a> and this Regulation Chapter:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(a)">(a)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "HCFA" means the Health Care Financing Administration of the United States Department of Health and Human Services.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(b)">(b)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "HCFA Form 1450" means the health insurance claim form maintained by HCFA for use by institutional care practitioners.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(c)">(c)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "HCFA Form 1500" means the health insurance claim form maintained by HCFA for use by health care practitioners.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(d)">(d)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "Health Care Practitioner" means a health care provider duly licensed by the Secretary of State of the State of Georgia pursuant to the Official Code of Georgia Annotated and the Rules and Regulations of the State of Georgia.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(e)">(e)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "Institutional Care Practitioner" means a hospice, hospital, skilled nursing facility, extended care facility, intermediate care facility, convalescent nursing home, and personal care facility licensed pursuant to the Official Code of Georgia Annotated and the Rules and Regulations of the State of Georgia.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(f)">(f)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "Insured" means an individual covered under a policy of insurance or the provider to which that individual has assigned benefits.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(g)">(g)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "Issuer" means an insurance company, fraternal benefit society, health care service plan, health maintenance organization, third party administrator, and any other entity reimbursing the costs of health care expenses.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.04(h)">(h)</a></td> <td valign="top" style="text-align:left" class="leftalign"> "J512 Form" means the uniform dental claim form approved by the American Dental Association for use by dentists.</td> </tr> </table> <h2><a href="/GAC/120-2-59-.05" name="120-2-59-.05" title="120-2-59-.05">Rule 120-2-59-.05 Requirements</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.05(1)">(1)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Health care practitioners and institutional care practitioners shall use and accept the most current editions of the HCFA Form 1450, HCFA Form 1500, or J512 Form and most current instructions for these forms in the billing of patients or their representatives and filing claims with issuers.</td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><a style="white-space:nowrap;" name="120-2-59-.05(2)">(2)</a></td> <td valign="top" style="text-align:left" class="leftalign"> Issuers shall provide, upon request, to health care practitioners, institutional care practitioners and insureds, and accept the most current editions of the HCFA Form 1450, HCFA Form 1500, or J512 Form for the processing of claims.</td> </tr> </table> <h2><a href="/GAC/120-2-59-.06" name="120-2-59-.06" title="120-2-59-.06">Rule 120-2-59-.06 Severability</a></h2> <P>If any provision of this Regulation Chapter or the application thereof to any person or circumstance is for any reason held to be invalid, the remainder of the Regulation Chapter and the application of such provision to other persons or circumstances shall not be affected thereby.</P> <P> <P><img class="ImageLink" src="/pdf/ga/admin/2019/120-2-59-.06_001.jpg" alt=" image: ga/admin/2019/120-2-59-.06_001.jpg"></P> </P> <P> <P><img class="ImageLink" src="/pdf/ga/admin/2019/120-2-59-.06_002.jpg" alt=" image: ga/admin/2019/120-2-59-.06_002.jpg"></P> </P> <P> <P><img class="ImageLink" src="/pdf/ga/admin/2019/120-2-59-.06_003.jpg" alt=" image: ga/admin/2019/120-2-59-.06_003.jpg"></P> </P> </div> </div> </HTML> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/120-2-59-.01" name="120-2-59-.01" title="120-2-59-.01">Rule 120-2-59-.01 Authority</a></li><li><a href="/GAC/120-2-59-.02" name="120-2-59-.02" title="120-2-59-.02">Rule 120-2-59-.02 Purpose</a></li><li><a href="/GAC/120-2-59-.03" name="120-2-59-.03" title="120-2-59-.03">Rule 120-2-59-.03 Applicability and Scope</a></li><li><a href="/GAC/120-2-59-.04" name="120-2-59-.04" title="120-2-59-.04">Rule 120-2-59-.04 Definitions</a></li><li><a href="/GAC/120-2-59-.05" name="120-2-59-.05" title="120-2-59-.05">Rule 120-2-59-.05 Requirements</a></li><li><a href="/GAC/120-2-59-.06" name="120-2-59-.06" title="120-2-59-.06">Rule 120-2-59-.06 Severability</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 2019 Lawriter LLC - All rights reserved.</span>| <a 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