| All insurers providing individual medical expense insurance on |
an expense-incurred basis providing payment or reimbursement for |
diagnosis or treatment of a condition or a complaint by a |
licensed physician or chiropractor health care practitioner must |
accept the current standardized claim form for professional |
services approved by the Federal Government and submitted |
electronically. All insurers providing individual medical |
expense insurance on an expense-incurred basis providing payment |
or reimbursement for diagnosis or treatment of a condition or a |
complaint by a licensed hospital must accept the current |
standardized claim form for professional or facility services, as |
applicable, approved by the Federal Government and submitted |
electronically. An insurer may not be required to accept a claim |
submitted on a form other than the applicable form specified in |
this section and may not be required to accept a claim that is |
not submitted electronically, except from a health care |
practitioner who is exempt pursuant to Title 24, section 2985. |