California AB2499 mandates timely reimbursement of health care claims and outlines procedures for contesting claims.

California AB2499 requires insurers and health care service plans to reimburse complete health care claims within 30 days of receipt. If a claim is not reimbursed on time, interest accrues at 15% per annum. Insurers must notify claimants and providers within 30 days if a claim is contested or denied, specifying reasons. Insurers and plans must accept electronic submissions of medical records and supporting documentation starting May 26, 2028. The bill also details procedures for handling suspected fraud and overpayments in health care claims.

California AB2499 mandates timely reimbursement of health care claims and outlines procedures for contesting claims.

California AB2499 requires insurers and health care service plans to reimburse complete health care claims within 30 days of receipt. If a claim is not reimbursed on time, interest accrues at 15% per annum. Insurers must notify claimants and providers within 30 days if a claim is contested or denied, specifying reasons. Insurers and plans must accept electronic submissions of medical records and supporting documentation starting May 26, 2028. The bill also details procedures for handling suspected fraud and overpayments in health care claims.