Michigan HB5478 amends insurance laws to set timeframes for health insurers to pay claims and retrieve payments.
Michigan HB5478 amends the insurance code to establish specific timeframes for health insurers to pay claims and retrieve payments. The bill mandates that clean claims must be paid within 45 days, with interest at 12% per annum for late payments. It also sets a 90-day limit for insurers to retrieve payments from health professionals, facilities, home health care providers, and durable medical equipment providers. The bill outlines procedures for handling defective claims and provides for civil fines for violations.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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