Wis. Stat. § 601.56 Study and Rules On Standards For Health Insurers

• Library: Wisconsin Statutes
• Edition: 2023
• Currency: Current through Acts 2023-2024, ch. 86
• Year: 2023
• Citation: Wis. Stat. § 601.56

(1) STUDY.

(a) The commissioner shall study whether, in their transactions with health care providers, compliance by health insurers with certain standards, such as standard codes, forms and formats, is likely to reduce the cost of health care administration. The study shall investigate compliance with standards in at least all of the following types of transactions between insurers and health care providers:

1. Confirmation of eligibility.

2. Pretreatment authorization.

3. Referral to specialty providers.

4. Coordination of benefits.