Ariz. Admin. Code § R20-6-2404 - Arbitrators
A. Contracted
entities. The Department shall contract with one or more persons to provide
Arbitrators. The Department must have a list of at least four Arbitrators to
assign to Arbitrations. The Department shall publish the list of contracted
entities and a list of each entity's qualified Arbitrators on its
website.
B. Arbitrator
Qualifications. Any person contracting with the Department must be able to
provide Arbitrators who possess at least three years of experience in health
care services claims.
C.
Alternative Arbitrators. A health insurer and provider may mutually agree to
use an Alternative Arbitrator if either the health insurer or the health care
provider objects to an Arbitrator appointed by the Department.
D. Appointment of an Arbitrator.
1. The Department shall appoint an Arbitrator
for each Arbitration.
2. If the
health insurer and health care provider do not agree to the Arbitrator
appointed by the Department, they shall either:
a. Mutually agree to use an Alternative
Arbitrator; or
b. Participate in
the following procedure:
i. The Department
shall assign three Arbitrators.
ii. The health insurer shall strike one
Arbitrator.
iii. The health care
provider shall strike one Arbitrator.
iv. If one Arbitrator remains, the Department
shall appoint the remaining Arbitrator to the Arbitration.
v. If the health insurer and health care
provider strike the same Arbitrator, the Department shall randomly assign the
Arbitrator from the remaining two Arbitrators.
Notes
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