Iowa HSB183 regulates prior authorization for dental care services, ensuring providers are reimbursed for approved services.

Iowa HSB183 mandates that dental carriers cannot deny claims for services approved by prior authorization. Providers must be reimbursed at the contracted rate for services provided to covered persons per prior authorization. The bill outlines exceptions where denials can occur, such as when the covered person was ineligible or when the claim was submitted fraudulently. The requirements cannot be waived by contract, and any contradictory contract is null and void. The commissioner of insurance may adopt rules to administer this section.

Iowa HSB183 regulates prior authorization for dental care services, ensuring providers are reimbursed for approved services.

Iowa HSB183 mandates that dental carriers cannot deny claims for services approved by prior authorization. Providers must be reimbursed at the contracted rate for services provided to covered persons per prior authorization. The bill outlines exceptions where denials can occur, such as when the covered person was ineligible or when the claim was submitted fraudulently. The requirements cannot be waived by contract, and any contradictory contract is null and void. The commissioner of insurance may adopt rules to administer this section.