Reduces the lookback period for insurance overpayment recovery from health care providers from twenty-four months to twelve months.

This bill changes the lookback period for insurance overpayment recovery from health care providers from twenty-four months to twelve months. The reduced period applies unless the overpayment recovery is based on fraud, intentional misconduct, abusive billing, or required by a self-insured plan or government program. The bill also allows health plans to defend or set off claims of underpayment based on overpayments regardless of the time limit. The changes take effect thirty days after the bill becomes law.

Reduces the lookback period for insurance overpayment recovery from health care providers from twenty-four months to twelve months.

This bill changes the lookback period for insurance overpayment recovery from health care providers from twenty-four months to twelve months. The reduced period applies unless the overpayment recovery is based on fraud, intentional misconduct, abusive billing, or required by a self-insured plan or government program. The bill also allows health plans to defend or set off claims of underpayment based on overpayments regardless of the time limit. The changes take effect thirty days after the bill becomes law.