Florida S1082 amends the statewide provider and health plan claim dispute resolution program to exclude certain claims from review.

Florida S1082 amends the statewide provider and health plan claim dispute resolution program by specifying additional circumstances under which a disputed claim is not subject to review. These include claims related to interest payments, those not meeting jurisdictional amounts, internal grievances in Medicare managed care organizations, claims involving non-regulated health plans, Medicaid fair hearings, actions pending in court, claims subject to binding resolution processes prior to 2000, and claims related to services submitted through federal processes.

Florida S1082 amends the statewide provider and health plan claim dispute resolution program to exclude certain claims from review.

Florida S1082 amends the statewide provider and health plan claim dispute resolution program by specifying additional circumstances under which a disputed claim is not subject to review. These include claims related to interest payments, those not meeting jurisdictional amounts, internal grievances in Medicare managed care organizations, claims involving non-regulated health plans, Medicaid fair hearings, actions pending in court, claims subject to binding resolution processes prior to 2000, and claims related to services submitted through federal processes.