Florida S1198 amends health insurance claim procedures, including prior authorization denials and dispute resolution.

Florida S1198 amends the state's health insurance claim procedures by defining "denied prior authorization request" and expanding the scope of the statewide provider and health plan claim dispute resolution program. The bill mandates participation in the program and prohibits providers and health plans from opting out. It also allows for offers to settle claim disputes, requires timely submission of supporting documentation, and sets penalties for noncompliance.

Florida S1198 amends health insurance claim procedures, including prior authorization denials and dispute resolution.

Florida S1198 amends the state's health insurance claim procedures by defining "denied prior authorization request" and expanding the scope of the statewide provider and health plan claim dispute resolution program. The bill mandates participation in the program and prohibits providers and health plans from opting out. It also allows for offers to settle claim disputes, requires timely submission of supporting documentation, and sets penalties for noncompliance.