Maryland HB1450 regulates health insurance carriers' responsibilities in coordination of benefits and retroactive denials of reimbursement.

Maryland HB1450 amends the coordination of benefits provisions for health insurance carriers. It limits the time frame for retroactive denials of reimbursement to nine months for services subject to coordination with another carrier. The bill mandates that carriers provide written statements to health care providers specifying the basis for any retroactive denial. It also requires carriers to identify primary and secondary payors, determine the amounts payable by each, and coordinate benefits to ensure combined payments do not exceed 100% of the total claim.

Maryland HB1450 regulates health insurance carriers' responsibilities in coordination of benefits and retroactive denials of reimbursement.

Maryland HB1450 amends the coordination of benefits provisions for health insurance carriers. It limits the time frame for retroactive denials of reimbursement to nine months for services subject to coordination with another carrier. The bill mandates that carriers provide written statements to health care providers specifying the basis for any retroactive denial. It also requires carriers to identify primary and secondary payors, determine the amounts payable by each, and coordinate benefits to ensure combined payments do not exceed 100% of the total claim.