Florida H1023 amends insurance claim dispute resolution processes, prohibiting denial of claims for procedures included in prior authorizations and.

Florida H1023 amends existing statutes to enhance the resolution of insurance claim disputes. It prohibits health insurers and health maintenance organizations from denying claims for procedures that were included in prior authorizations, except under specific conditions. The bill also mandates the Agency for Health Care Administration to establish a program to assist health care providers and health plans in resolving claims of denied prior authorization requests. This program is mandatory, and neither providers nor health plans can opt out.

Florida H1023 amends insurance claim dispute resolution processes, prohibiting denial of claims for procedures included in prior authorizations and.

Florida H1023 amends existing statutes to enhance the resolution of insurance claim disputes. It prohibits health insurers and health maintenance organizations from denying claims for procedures that were included in prior authorizations, except under specific conditions. The bill also mandates the Agency for Health Care Administration to establish a program to assist health care providers and health plans in resolving claims of denied prior authorization requests. This program is mandatory, and neither providers nor health plans can opt out.