Insurers to report medical claims data to division of workers' compensation, contents
Insurance companies that sell workers' compensation insurance in Missouri have to send medical claims information to the state's workers' compensation division at least every six months. This information includes things like the type of medical care given, dates of treatment, and how much it cost. The state uses this information to track trends in health care costs for injured workers. Anyone who does not send the required information can be penalized.
287.894. Insurers to report medical data to , contents — health plan, duties — purpose — costs — for failure to comply. — 1. All commercial licensed to sell in the state shall provide to the Missouri division of workers' compensation at least every six months medical claims history data as required by the . Such data shall be on electronic media and shall include the current relating to the medical treatment, dates of treatment, of the worker, type of rendering care, and charges for treatment. The division may require a of claims. Companies failing to provide such as required by the division are subject to section 287.740. The division may, for purposes of , collect data from health care providers relating to the treatment of workers' compensation injuries.
2. The as established in section 103.005 shall, upon request of the division, provide data to that provided by the insurance carriers as required in 1 of this section.
3. The data required in subsections 1 and 2 of this section shall be used by the division to determine historical and statistical trends, variations and changes in health care costs associated with workers' compensation patients compared with nonworkers' compensation patients with similar injuries and conditions. Such data shall be readily available for by users of the workers' compensation system, members of the , the Missouri division of workers' compensation and the of commerce and insurance. Any data released by the division shall not identify a patient or health care provider.
4. Any additional personnel or equipment needed by the division to meet the requirements of this section shall be paid for by the .
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Source & history notes
(L. 1993 S.B. 251 § 13, A.L. 2005 S.B. 1 & 130)
Legal information, not legal advice. Always confirm with the official source at revisor.mo.gov.