Minnesota HF4225 limits the amount a provider can charge an enrollee for denied covered services.

Minnesota HF4225 introduces a cap on the amount a healthcare provider can charge an enrollee for denied covered services due to procedural reasons. The bill specifies that if a health plan company denies coverage for a service that is a covered benefit under the enrollee's health plan, the provider may not charge more than the negotiated provider payment amount plus 20 percent. This amount is also counted toward any applicable deductible the enrollee must meet under their health plan. The bill aims to protect enrollees from excessive charges for services that should have been covered.

Minnesota HF4225 limits the amount a provider can charge an enrollee for denied covered services.

Minnesota HF4225 introduces a cap on the amount a healthcare provider can charge an enrollee for denied covered services due to procedural reasons. The bill specifies that if a health plan company denies coverage for a service that is a covered benefit under the enrollee's health plan, the provider may not charge more than the negotiated provider payment amount plus 20 percent. This amount is also counted toward any applicable deductible the enrollee must meet under their health plan. The bill aims to protect enrollees from excessive charges for services that should have been covered.