Connecticut HB05377 modifies health care provider payment rules, limiting return demands and requiring electronic appeals.

Connecticut HB05377 revises the rules for health care provider payments, limiting the time health carriers can cancel, deny, or demand the return of payments to no more than 18 months after service. It mandates that health carriers establish an electronic appeal process for such demands. Additionally, it requires hospital-based facilities to include their national provider identifier and tax identification number with each claim for reimbursement or payment.

Connecticut HB05377 modifies health care provider payment rules, limiting return demands and requiring electronic appeals.

Connecticut HB05377 revises the rules for health care provider payments, limiting the time health carriers can cancel, deny, or demand the return of payments to no more than 18 months after service. It mandates that health carriers establish an electronic appeal process for such demands. Additionally, it requires hospital-based facilities to include their national provider identifier and tax identification number with each claim for reimbursement or payment.