HB4378 amends the Illinois Insurance Code to enhance protections for healthcare providers in managed care organizations.
HB4378 amends the Illinois Insurance Code to enhance protections for healthcare providers in managed care organizations. It mandates that health care professionals and providers receive a remittance advice explaining any recoupment or offset taken by insurers, health maintenance organizations, independent practice associations, managed care organizations, or physician hospital organizations. The advice must include the patient's name, the date of service, the service code or description, the recoupment amount, and the reason for the recoupment or offset.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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