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insurance providing payment or reimbursement for diagnosis or | treatment of a condition or a complaint by a licensed dentist must | accept the 1990 American Dental Association claim form, or "1990 | ADA Form." |
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| | Sec. 4. 24-A MRSA §4235, as enacted by PL 1993, c. 477, Pt. D, §12 | and affected by Pt. F, §1, is repealed and the following enacted | in its place: |
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| §4235.__Standardized claim forms |
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| | 1.__Claim form approved by Federal Government. On or after | December 1, 1993, all health maintenance organizations providing | payment or reimbursement for diagnosis or treatment of a | condition or a complaint by a licensed physician or chiropractor | must accept the current standardized claim form approved by the | Federal Government.__On or after December 1, 1993, all health | maintenance organizations providing payment or reimbursement for | diagnosis or treatment of a condition or a complaint by a | licensed hospital must accept the current standardized claim form | approved by the Federal Government. |
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| | 2.__Dental insurance claims.__Notwithstanding the requirements | of subsection 1, all health maintenance organizations and | nonprofit health care plans providing payment or reimbursement | for diagnosis or treatment of a condition or a complaint by a | licensed dentist must accept the 1990 American Dental Association | claim form, or "1990 ADA Form." |
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| | Emergency clause. In view of the emergency cited in the preamble, | this Act takes effect when approved. |
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| | This bill requires nonprofit hospital, medical and health care | service organizations, insurers and health maintenance | organizations to accept the submission of the 1990 American | Dental Association standard claim form for dental insurance | claims. |
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| | This bill is an emergency and takes effect when enacted. |
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