Medicare Advantage Prompt Pay Act improves prompt payment requirements for Medicare Advantage organizations.

The Medicare Advantage Prompt Pay Act amends title XVIII of the Social Security Act to enhance prompt payment requirements for Medicare Advantage organizations. It mandates that these organizations must pay at least 95% of clean claims within 14 days for electronically submitted claims and 30 days for other claims. The bill also introduces a rebuttable presumption for the receipt of claims and applies interest penalties for non-compliance. These changes will take effect for items and services furnished on or after January 1, 2027.

Medicare Advantage Prompt Pay Act improves prompt payment requirements for Medicare Advantage organizations.

The Medicare Advantage Prompt Pay Act amends title XVIII of the Social Security Act to enhance prompt payment requirements for Medicare Advantage organizations. It mandates that these organizations must pay at least 95% of clean claims within 14 days for electronically submitted claims and 30 days for other claims. The bill also introduces a rebuttable presumption for the receipt of claims and applies interest penalties for non-compliance. These changes will take effect for items and services furnished on or after January 1, 2027.