Iowa HF874 regulates dental care services, requiring prior authorization, state-regulated plan notices, and overpayment recovery procedures.

Iowa HF874 mandates that dental carriers cannot deny claims for services approved by prior authorization. It requires carriers to inform dental care providers if a dental care service plan is state-regulated. The bill also outlines procedures for recovering overpayments, including a 365-day notice period and specific conditions under which a carrier may deny reimbursement. The requirements cannot be waived by contract, and the commissioner of insurance can adopt rules to administer these provisions.

Iowa HF874 regulates dental care services, requiring prior authorization, state-regulated plan notices, and overpayment recovery procedures.

Iowa HF874 mandates that dental carriers cannot deny claims for services approved by prior authorization. It requires carriers to inform dental care providers if a dental care service plan is state-regulated. The bill also outlines procedures for recovering overpayments, including a 365-day notice period and specific conditions under which a carrier may deny reimbursement. The requirements cannot be waived by contract, and the commissioner of insurance can adopt rules to administer these provisions.