Health care providers in California have 90 days to correct claims denied by insurers or service plans.
California SB1049 adds provisions to the Insurance Code and Health and Safety Code, allowing health care providers 90 days to correct claims denied by insurers or service plans if the denial is due to a correctable defect. Insurers and service plans cannot deny corrected claims submitted within this timeframe. Disputes over corrected claims can be submitted to the insurer's or service plan's dispute resolution mechanism. The State Department of Health Care Services can issue guidance and regulations related to these provisions.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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