Missouri Code § 190.205

Insurers' duties.
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1. Health carriers and managed care plans shall pay benefits directly to ambulance services or emergency medical response agencies.
2. Health carriers and managed care plans shall not prohibit or discourage the use of the 911 system when emergency services are needed as defined in section 190.100 .
3. If a request for emergency services is made to an ambulance service which is not the 911 provider or the recognized emergency provider in areas not covered by 911 ambulance services, then the 911 provider or the recognized emergency provider shall be notified immediately by the ambulance service receiving the request.

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