California AB682 mandates health insurers and health care service plans to report detailed data on claims denied, adjusted, or contested, including.
California AB682 requires health insurers and health care service plans to publicly report detailed data on claims denied, adjusted, or contested. This includes reasons for denials, such as out-of-network providers or lack of prior authorization, and demographic breakdowns by age, gender identity, and other categories. The reports must be submitted annually and posted on the insurer's or plan's website. The data must be disaggregated by specific medical procedures and diagnoses, and starting in 2029, by demographic categories.
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