2007 Minnesota Statutes

62C.18 PERSONAL LIABILITY.
    Subdivision 1. Limitation. No participating provider shall have any right of action against
a subscriber for compensation for health services which such provider has rendered, except to
the extent that the subscriber's contract does not provide coverage for the services or part of
the services rendered.
    Subd. 2. Rights of nonparticipating providers; notice. Nothing herein shall affect the
rights of a nonparticipating provider who gives the subscriber written notice prior to rendering
service that the provider will bill the subscriber directly for service, provided that such notice shall
not be required if (1) the nonparticipating provider is not informed by the subscriber and does not
otherwise have knowledge that such subscriber has a subscriber contract covering such services,
or (2) under the existing circumstances it is impossible or impractical for the nonparticipating
provider to give such notice, or (3) the services are not provided in this state.
    Subd. 3. Failure of nonparticipating provider to give notice. A nonparticipating provider
who fails to give the notice required in subdivision 2 shall not be entitled to recover compensation
from a subscriber for health services rendered to such subscriber in an amount in excess of the
aggregate of (1) the amount actually received by the subscriber from the service plan corporation
as reimbursement for the costs of such service, and (2) the amount by which such nonparticipating
provider's fee or charges for such service exceeds the coverage provided for such service in the
subscriber's contract.
History: 1971 c 568 s 18; 1986 c 444