Illinois HB3445 amends the Illinois Insurance Code to regulate recoupments by insurers and health care providers.
Illinois HB3445 amends the Illinois Insurance Code to regulate recoupments by insurers and health care providers. It mandates that any recoupment or offset must be explained in a remittance advice, including details such as the patient's name, service code, recoupment amount, and reason for recoupment. Insurers, health maintenance organizations, independent practice associations, and physician hospital organizations must provide a contact for appealing recoupments within 60 days.
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