2.__Submission of claim.__A claim submitted for payment to an insurer by a health care provider or facility must include the identification number required by subsection 1 of the certified nurse practitioner or certified nurse midwife that provided the service.

3.__Report to Superintendent of Insurance.__A health maintenance organization subject to this section shall report its experience related to services provided by certified nurse practitioners and certified nurse midwives for each calendar year to the Superintendent of Insurance not later than April 30th of the following year.__The report must be in a form prescribed by the superintendent and include the total amount of claims paid in this State for the services of certified nurse practitioners and certified nurse midwives, the amount of claims paid for inpatient, outpatient and day treatment services and utilization rates.__The superintendent shall compile this data for all health maintenance organizations in an annual report.

SUMMARY

This bill requires that nonprofit hospital and medical service organizations, health insurers and health maintenance organizations assign identification numbers to certified nurse practitioners and certified nurse midwives that provide services under individual and group contracts. It also requires that claims submissions include the identification numbers of any certified nurse practitioner or certified nurse midwife that provided services related to the claim. The bill further requires that nonprofit hospital and medical service organizations, health insurers and health maintenance organizations file annual reports with the Superintendent of Insurance outlining their experience related to services provided by certified nurse practitioners and certified nurse midwives.