---
title: O.C.G.A. § 33-20E-9. Arbitration of payment issues.
collection: code
id: 33-20E-9
cite_as: O.C.G.A. § 33-20E-9 (2025)
canonical_url: https://georgiacommons.org/code/33-20E-9
md_url: https://georgiacommons.org/code/33-20E-9.md
text_url: https://georgiacommons.org/code/33-20E-9/text
source_url: https://www.legis.ga.gov/api/document/docs/default-source/joint-features-document-library/t33-ch1-22-(v24)-pdf.pdf?sfvrsn=7cbbe9cb_0#page=198
date: 2025
status: active
corpus_version: 2025-supplement-89aa39ab3c68
license: CC0-1.0
publisher: Georgia Commons, an independent project of Georgia Civic Data. Not the State of Georgia. Not legal advice.
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index: https://georgiacommons.org/code/index.md
version: the only printed version
in_force: true
current_through: Including Acts of the 2025 Regular Session of the General Assembly
heading_path: INSURANCE / SURPRISE BILLING CONSUMER PROTECTION ACT
---

# O.C.G.A. § 33-20E-9. Arbitration of payment issues.

(a) If an out-of-network provider concludes that payment received from an insurer pursuant to Code Section 33-20E-4 or 33-20E-5 or if an out-of-network facility concludes that payment received from an insurer pursuant to Code Section 33-20E-4 is not sufficient given the complexity and circumstances of the services provided, the provider or facility may initiate a request for arbitration with the Commissioner. Such provider or facility shall submit such request within 60 days of receipt of such payment for the claim and concurrently provide the insurer with a copy of such request. Such payment shall be indicated by the insurer on the first page of the insurer’s remittance to the out-of-network provider in a manner to be determined by the Commissioner through the promulgation of rules and regulations. Such rules and regulations shall specify when the time period to request arbitration commences.

(b) A request for arbitration may involve a single patient and a single type of healthcare service, a single patient and multiple types of healthcare services, multiple patients and a single type of healthcare service, or multiple substantially similar healthcare services in the same specialty on multiple patients.

## History

Code 1981, § 33-20E-9, enacted by Ga. L. 2020, p. 210, § 1/HB 888; Ga. L. 2023, p. 304, § 3/HB 295, effective July 1, 2023.

## Amendments

The 2023 amendment, effective July 1, 2023, in subsection (a), substituted “request within 60 days of receipt of such payment” for “request within 30 days of receipt of payment” in the second sentence, and added the third sentence.