3.   This act shall not apply to any provider that:

   a.   submits less than 25 medical bills per month to insurance carriers or third-party administrators;
 
   b.   furnishes services only outside of the United States;
 
   c.   experiences a disruption in electricity and communication connections that are beyond its control; or
 
   d.   demonstrates that a specific and unusual circumstance exists that precludes submission of electronic bills.
 
   L.2017, c.369, s.3.