828 IAC 1-1-19.4 Referral services; patient referral

Sec. 19.4. (a) A referral service may not refer to participating dentists who are specialists or participating dentists that purport to provide special services unless the patient specifically requests a specialist or the special service. The fact that the patient purports to have a condition or necessity notwithstanding, unless a specific specialty or service is requested, without prompting by the referral service, the patient will be referred to a general dentist. (b) Any fee paid to a referral service from a dentist shall not be dependent upon the number of referrals received by that dentist from such referral service. (c) A referral service shall not designate an exclusive geographic area to a specific dentist from which all patients shall be referred. (d) If requested, and where possible, the referral service will provide multiple names of participating dentists in the patient's geographic area as determined by the patient's need. (e) A referral service shall not limit the number of participating dentists who can enroll in the referral service in a given geographic region.