Health Claim Denial Transparency Act requires group health plans to report detailed information on claim denials in annual reports.
The Health Claim Denial Transparency Act mandates the Secretary of Labor to promulgate regulations requiring group health plans to include specific information on claim denials in their annual reports. This includes the total number of claims submitted, approved, denied, and appealed, along with the basis for denials and the use of artificial intelligence in processing claims. The act also requires reporting on the dollar amount of claims paid and denied, and the number of claims not adjudicated within the required time frame.
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