Ins 17.275(4)(4) Disclosure. Confidential claims information may be disclosed only as follows: Ins 17.275(4)(b)(b) As needed by the peer review council, consultants and the board under s. 655.275, Stats., and rules promulgated under that section. Ins 17.275(4)(d)(d) To an individual, organization or agency required by law or designated by the commissioner or board to conduct a management or financial audit. Ins 17.275(4)(e)(e) With a written authorization from the plan-insured health care provider on whose behalf the claim was defended or paid. Ins 17.275(4)(f)(f) To the risk manager for the fund, as needed to perform the duties specified in its contract. The risk manager may not disclose confidential claims information to any 3rd party, unless the board expressly authorizes the disclosure. The board may authorize disclosure of patient health care records subject to ss. 146.81 to 146.84, Stats., only as provided in those sections. Ins 17.275 HistoryHistory: Cr. Register, March, 1988, No. 387, eff. 4-1-88; cr. (3) (e), Register, June, 1990, No. 414, eff. 7-1-90; cr. (3) (f), Register, May, 1995, No. 473, eff. 6-1-95; am., Register, September, 1999, No. 525, eff. 10-1-99. Ins 17.275 NoteNote: See the table of Appellate Court Citations for Wisconsin appellate cases citing s. Ins 17.275. Ins 17.28Ins 17.28 Health care provider fees. Ins 17.28(2)(2) Scope. This section applies to fees charged to providers for participation in the fund, but does not apply to fees charged for operation of the mediation system under s. 655.61, Stats. Ins 17.28(3)(a)(a) “Annual fee” means the amount established under sub. (6) for each class or type of provider. Ins 17.28(3)(b)(b) “Begin operation” means for a provider other than a natural person to start providing health care services in this state. Ins 17.28(3)(bm)(bm) “Begin practice” means to start practicing in this state as a medical or osteopathic physician or nurse anesthetist or to become ineligible for an exemption from ch. 655, Stats. Ins 17.28(3)(c)(c) “Class” means a group of physicians whose specialties or types of practice are similar in their degree of exposure to loss. The specialties and types of practice and the applicable Insurance Services Office, Inc., codes included in each fund class are the following: Ins 17.28(3)(d)(d) “Fiscal year” means each period beginning each July 1 and ending each June 30. Ins 17.28(3)(e)(e) “Permanently cease operation” means for a provider other than a natural person to stop providing health care services with the intent not to resume providing such services in this state. Ins 17.28(3)(f)(f) “Permanently cease practice” means to stop practicing as a medical or osteopathic physician or nurse anesthetist with the intent not to resume that type of practice in this state.
