SB361

Montana SB361 revises health insurance claim laws to ensure timely responses and data sharing with the Department of Public Health and Human Services.

Montana SB361 revises laws relating to health insurance claims submitted to the Department of Public Health and Human Services. It mandates that entities legally responsible for health care claims must provide coverage information and respond to inquiries within three years of service provision. These entities must also accept the department's right of recovery and agree not to deny claims based on submission date, form type, prior authorization, or documentation. The bill further requires these entities to pay claims unless they bear the financial obligation under plan documents.