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Official Code of Georgia Annotated

Title 33. INSURANCE · Chapter 20E. SURPRISE BILLING CONSUMER PROTECTION ACT

33-20E-15. Proposed payment amounts.

Active

Current through: Including Acts of the 2025 Regular Session of the General Assembly.

  1. Each party shall submit one proposed payment amount to the arbitrator. The arbitrator shall pick one of the two amounts submitted and shall reveal that amount in the arbitrator’s final decision. The arbitrator may not modify such selected amount. In making such a decision, the arbitrator shall consider the complexity and circumstances of each case, including, but not limited to, the level of training, education, and experience of the relevant physicians or other individuals at the facility who are licensed or otherwise authorized in this state to furnish healthcare services and other factors as determined by the Commissioner through rule. The arbitrator’s final decision shall be in writing and shall describe the basis for such decision, including citations to any documents relied upon. Notwithstanding Code Section 33-20E-14, such decision shall be made within 60 days of the Commissioner’s referral. Any default or final decision issued by the arbitrator shall be binding upon the parties and is not appealable through the court system.

The notes below are printed with the section but are not enacted law (O.C.G.A. § 1-1-1(c)). They are shown apart from the text.

History

Code 1981, § 33-20E-15, enacted by Ga. L. 2020, p. 210, § 1/HB 888; Ga. L. 2023, p. 304, § 8/HB 295, effective July 1, 2023.

Amendments

The 2023 amendment, effective July 1, 2023, substituted “within 60 days” for “within 30 days” in the next-to-last sentence.

Read the official page (the state's PDF, opened at the page this text was read from).

Current through: Including Acts of the 2025 Regular Session of the General Assembly.

Text read from t33-ch1-22-(v24)-pdf.pdf, Volume V24, 2020 edition, 2025 supplement, pages 201 to 202; merge action: replaced; file SHA-256 56140d876051.

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O.C.G.A. § 33-20E-15. Proposed payment amounts. | Georgia Commons