Illinois SB3163 amends the Illinois Insurance Code to regulate recoupments by insurers and managed care organizations, and establishes a universal.
Illinois SB3163 amends the Illinois Insurance Code to mandate that health care professionals and providers receive a remittance advice detailing any recoupments or offsets by insurers, health maintenance organizations, independent practice associations, managed care organizations, or physician hospital organizations. The explanation must include the patient's name, date of service, service code, recoupment amount, and reason for recoupment.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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