HRS §431:9-243
Getting a license to review medical bills
This section explains who can get an independent bill reviewer's license. You must meet certain requirements, like living in Hawaii or a state that allows Hawaii residents to work there, have relevant training or experience, pass an exam, and pay fees. If you have certain professional coding or health information credentials, you are exempt from most requirements.
The statute, as written — Qualification for independent bill reviewer's license
To qualify for an independent bill reviewer's license, an applicant shall comply with this article and shall: (1) Be domiciled in this State, or in a state that will permit residents of this State to act as independent bill reviewers in the other state; (2) Have experience, special education, or training with reference to the review or audit of billings for medical services under insurance contracts, of sufficient duration and extent to reasonably make the individual competent to fulfill the responsibilities of an independent bill reviewer; (3) Have successfully passed any examination required under section 431:9-206; and (4) Pay the license fees required by section 431:7‑101; provided that any applicant who holds the credential of certified professional coder granted by the American Academy of Professional Coders or the credential of registered health information administrator, registered health information technician, certified coding specialist, or certified coding associate granted by the American Health Information Management Association shall be exempt from the requirements in paragraphs (1) to (3).
Sections this one refers to
§431:9-206 Pass an exam before getting your license
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