An enrollee who is aggrieved by an arbitration decision regarding a disputed surprise out-of-network bill may file a civil action in superior court not later than one year after the date of the disputed decision to obtain appropriate relief with respect to the same surprise out-of-network bill.

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Terms Used In Arizona Laws 20-3119

  • Action: includes any matter or proceeding in a court, civil or criminal. See Arizona Laws 1-215
  • Arbitration: means a dispute resolution process in which an impartial arbitrator determines the dollar amount a health care provider is entitled to receive for payment of a surprise out-of-network bill. See Arizona Laws 20-3111
  • Enrollee: means an individual who is eligible to receive benefits through a health plan. See Arizona Laws 20-3111
  • Surprise out-of-network bill: means a bill for a health care service that was provided in a network facility by a health care provider that is not a contracted provider and that meets one of the requirements listed in section 20-3113. See Arizona Laws 20-3111