| All administrators who administer claims and who provide |
| payment or reimbursement for diagnosis or treatment of a |
| condition or a complaint by a licensed health care practitioner |
| must accept the current standardized claim form for professional |
| services approved by the Federal Government and submitted |
| electronically. All administrators who administer claims and who |
| provide payment or reimbursement for diagnosis or treatment of a |
| condition or a complaint by a licensed hospital must accept the |
| current standardized claim form for professional or facility |
| services, as applicable, approved by the Federal Government and |
| submitted electronically. An administrator may not be required |
| to accept a claim submitted on a form other than the applicable |
| form specified in this section and may not be required to accept |
| a claim that is not submitted electronically, except from a |
| health care practitioner who is exempt pursuant to Title 24, |
| section 2985. All services provided by a health care |
| practitioner in an office setting must be submitted on the |
| standardized federal form used by noninstitutional providers and |
| suppliers.__Services in a nonoffice setting may be billed as |
| negotiated between the administrator and health care |
| practitioner. For purposes of this section, "office setting" |
| means a location where the health care practitioner routinely |
