Page:United States Statutes at Large Volume 101 Part 2.djvu/921

 PUBLIC LAW 100-203—DEC. 22, 1987

101 STAT. 1330-127

is made by a carrier with a contract under this section, the carrier shall transmit to the private entity issuing the medicare supplemental policy notice of such fact and including such information as the Secretary determines is generally provided to enable the entity to decide whether (and the amount of) any payment is due under the policy. The Secretary may enter into arrangements for the transmittal of such information to entities electronically. The Secretary shall impose user fees for the transmittal of information under this subparagraph, whether electronically or otherwise.". (b) MEDIGAP POLICY STANDARDS.—Section 1882 of such Act (42 U.S.C. 1395ss) is amended— (1) in subsection (b)(D— (A) by amending subparagraph (B) to read as follows: "(B) includes requirements equal to or more stringent than ' the requirements described in paragraphs (2) and (3) of subsection (c);", ~c and new subparagraph: "(D) provides the Secretary periodically (but at least annually) with a list containing the name and address of the issuer of each such policy and the name and number of each such policy (including an indication of policies that have been previously approved, newly approved, or withdrawn from approval since the previous list was provided),"; (2) in subsection (c)— ' (A) by striking "and" at the end of paragraph (1), (B) by striking the period at the end of paragraph (2) and inserting "; and ', and (C) by inserting after paragraph (2) the following new paragraph: "(3)(A) accepts a notice under section 1842(h)(3)(B) as a claims form for benefits under such policy in lieu of any claims form otherwise required and agrees to make a payment determination on the basis of the information contained in such claims form; "(B) where such a notice is received— "(i) provides notice to such physician or supplier and the beneficiary of the payment determination, and "(ii) provides any appropriate payment directly to the { participating physician or supplier involved; "(C) provides each enrollee at the time of enrollment a card listing the policy name and number and a single mailing address to which notices under section 1842(h)(3)(B) respecting the policy are to be sent; "(D) agrees to pay any user fees established under section 1842(h)(3)(B) with respect to information transmitted to the issuer of the policy; and "(E) provides to the Secretary at least annually, for transmittal to carriers, a single mailing address to which notices under section 1842(h)(3)(B) respecting the policy are to be sent.". (c) EFFECTIVE DATES.—(1) The amendment made by subsection (a) Contracts. shall apply to contracts with carriers for clsiims for items and 42 USC I395u
 * 3 (B) by adding "and" at the end of subparagraph (C),
 * ^ (C) by inserting after subparagraph (C) the following
 * ' Paragraphs (B) and (C) were indented wrong.

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