(a) The insurer shall make available through an online provider directory, for each network plan, the following information, in a searchable format: (1) For healthcare professionals: (A) Name;(B) Gender;(C) Contact information;(D) Participating office location or locations;(E) Specialty, if applicable;(F) Board certifications, if applicable;(G) Medical group affiliations, if applicable;(H) Participating facility affiliations, if applicable;(I) Languages spoken other than English by the healthcare professional or clinical staff, if applicable;(J) Tier; and(K) Whether they are accepting new patients;(2) For hospitals: (A) Hospital name;(B) Hospital type, such as acute, rehabilitation, children's, or cancer;(C) Participating hospital location;(D) Hospital accreditation status;(E) Telephone number; and(F) Health benefit plan surprise bill rating; and(3) For facilities other than hospitals: (A) Facility name;(B) Facility type;(C) Types of services performed;(D) Participating facility location or locations; and(E) Telephone number.(b) Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.Amended by 2020 Ga. Laws 475,§ 2, eff. lity location or locations; and(E) Telephone number.(b) Paragraphs (2) and (3) of subsection (a) of this Code section shall not apply to standalone dental plans.Amended by 2020 Ga. Laws 475,§ 2, eff. 11/1/2020.Added by 2016 Ga. Laws 341,§ 1, eff. 7/1/2016.
Georgia Legal Code