State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-47-190

§58‑47‑190.  Compensation.

A TPA or service company shallnot enter into any agreement or understanding with a self‑insurer thatmakes the amount of the TPA's or service company's commissions, fees, orcharges contingent upon savings affected in the adjustment, settlement, andpayment of losses covered by the self‑insurer's obligations. This sectiondoes not prohibit a TPA or service company from receiving performance‑basedcompensation for providing medical services through a physician‑basednetwork or auditing services and does not prevent the compensation of a TPA orservice company from being based on premiums or charges collected or the numberof claims paid or processed. (1997‑362, s. 3.)

State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-47-190

§58‑47‑190.  Compensation.

A TPA or service company shallnot enter into any agreement or understanding with a self‑insurer thatmakes the amount of the TPA's or service company's commissions, fees, orcharges contingent upon savings affected in the adjustment, settlement, andpayment of losses covered by the self‑insurer's obligations. This sectiondoes not prohibit a TPA or service company from receiving performance‑basedcompensation for providing medical services through a physician‑basednetwork or auditing services and does not prevent the compensation of a TPA orservice company from being based on premiums or charges collected or the numberof claims paid or processed. (1997‑362, s. 3.)


State Codes and Statutes

State Codes and Statutes

Statutes > North-carolina > Chapter_58 > GS_58-47-190

§58‑47‑190.  Compensation.

A TPA or service company shallnot enter into any agreement or understanding with a self‑insurer thatmakes the amount of the TPA's or service company's commissions, fees, orcharges contingent upon savings affected in the adjustment, settlement, andpayment of losses covered by the self‑insurer's obligations. This sectiondoes not prohibit a TPA or service company from receiving performance‑basedcompensation for providing medical services through a physician‑basednetwork or auditing services and does not prevent the compensation of a TPA orservice company from being based on premiums or charges collected or the numberof claims paid or processed. (1997‑362, s. 3.)