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45: 1-53 Submission of bill to Medicare beneficiary by health care professional; reporting of nonpayment. 45: 1-53 Submission of bill to Medicare beneficiary by health care professional; reporting of nonpayment. 2. a. A health care professional licensed pursuant to Title 45 of the Revised Statutes, who provides a health care service to a Medicare beneficiary, shall bill the beneficiary, within 90 days from the date the payment from Medicare or other third party payer is finalized for any amounts due and owing for the service that are not reimbursed by the Medicare program or other third party payer. b. In the event the health care professional does not submit a bill to the beneficiary within 90 days from the date the payment from Medicare or other third party payer is finalized, the health care professional shall not be permitted to report any nonpayment of the bill by the beneficiary to a consumer reporting agency. c. A health care professional who...
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