New Hampshire Revised Statutes 420-J:8-e – Reasonable Value of Health Care Services
Current as of: 2023 | Check for updates
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Terms Used In New Hampshire Revised Statutes 420-J:8-e
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
- petition: when used in connection with the equity jurisdiction of the superior court, and referring to a document filed with the court, shall mean complaint, and "petitioner" shall mean plaintiff. See New Hampshire Revised Statutes 21:51
In the event of a dispute between a health care provider and an insurance carrier relative to the reasonable value of a service under N.H. Rev. Stat. § 329:31-b or N.H. Rev. Stat. § 415-J:3, the commissioner shall have exclusive jurisdiction to determine if the fee is commercially reasonable. Either the provider or the insurance carrier may petition for a hearing under N.H. Rev. Stat. § 400-A:17. The petition shall include the appealing party’s evidence and methodology for asserting that the fee is reasonable, and shall detail the efforts made by the parties to resolve the dispute prior to petitioning the commissioner for review. The department may require the parties to engage in mediation prior to rendering a decision.