UTAH CODE (Last Updated: January 16, 2015) |
Title 26. Utah Health Code |
Chapter 21. Health Care Facility Licensing and Inspection Act |
Part 1. General Provisions |
§ 26-21-20. Requirement for hospitals to provide statements of itemized charges to patients.
Latest version.
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(1) For purposes of this section, "hospital" includes: (a) an ambulatory surgical facility; (b) a general acute hospital; and (c) a specialty hospital. (2) A hospital shall provide a statement of itemized charges to any patient receiving medical care or other services from that hospital. (4) The statement required by this section: (a) shall itemize each of the charges actually provided by the hospital to the patient; (b) (i) shall include the words in bold "THIS IS THE BALANCE DUE AFTER PAYMENT FROM YOUR HEALTH INSURER"; or (ii) shall include other appropriate language if the statement is sent to the patient under Subsection (3)(b); and (c) may not include charges of physicians who bill separately. (5) The requirements of this section do not apply to patients who receive services from a hospital under Title XIX of the Social Security Act. (6) Nothing in this section prohibits a hospital from sending an itemized billing statement to a patient before the hospital has received an explanation of benefits from an insurer. If a hospital provides a statement of itemized charges to a patient prior to receiving the explanation of benefits from an insurer, the itemized statement shall be marked in bold: "DUPLICATE: DO NOT PAY" or other appropriate language.
Amended by Chapter 11, 2009 General Session