Ohio Miscellaneous Regulatory Material DEPARTMENT OF INSURANCE BULLETINS Bulletin 90-4 Reimbursement of nurse mid-wives	Effective Date October 31, 1990

1. The Ohio Department of Insurance has received complaints from nurse mid-wives concerning the reimbursement practices of insurers.

2. Insurers are cautioned that they may not apply more rigorous documentation requirements for the bills of nurse mid-wives, or any other limited category of providers, than are required for other categories of providers.

3. Insurers are further cautioned that Ohio Revised Code Section 3923.233 does not require the signature of the consulting physician on a claim form or any other document. It only requires the identification of the nurse mid-wife's consulting physician.

4. Insurers may comply with the requirements of Ohio Revised Code Section 3923.233 by making direct reimbursement to nurse mid-wives.

5. It is an Unfair and Deceptive Trade Practice under the provisions of Ohio Revised Code Section 3901.38 when an insurer denies the reimbursement of claims of nurse mid-wives solely on the basis that the claims have been completed by nurse mid-wives without signatures of other providers.

George Fabe

Director of Insurance

CROSS REFERENCE 3923.233; 3901.38

DATE NEW 1990

SUBJECT CATEGORY 060 - Health insurance / insurers
065 - Health service corporations
700 - Trade practices

INDEX
Health insurers and Indemnity benefits and Nurse midwives
Unfair and deceptive practices and Health insurers and
Indemnity benefits