Establishes a five-business-day response window for insurers to pre-authorization claims for oncology patients.
This bill amends the insurance law to establish a mandated five-business-day window for both Medicaid and private insurers to respond to pre-authorization claims for testing and/or treatments made by physicians on behalf of oncology patients. If an insurer fails to respond within this period, the physician is authorized to proceed with the treatment, and the insurer will be liable for payment.
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