North Dakota Code § 26.1-49-04

Provider contracts
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A health provider cooperative and its members may execute service contracts permitting the 
provider members to provide some or all of their health care services through the health 
provider cooperative to the enrollees, members, subscribers, or insureds of a nonprofit health 
service plan, health maintenance organization, accident and health insurance company, or the 
state medical assistance program. Each purchaser may execute contracts for the purchase of 
health services from a health provider cooperative in accordance with this section. A contract 
between a health provider cooperative and a purchaser must provide for payment by the 
purchaser on a substantially capitated or similar risk-sharing basis.
1. Every contract between a health provider cooperative and a purchaser must be in 
writing and must provide that if the purchaser fails to pay for health care services as 
set forth in the contract, the enrollee is not liable to the provider for any sums owed by 
the purchaser.
2. A member provider, agent, or trustee, or assignee thereof, may not maintain any action 
at law against an enrollee to collect sums owed by the purchaser.

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