New York S03365 amends the public health law to regulate payment of claims submitted by healthcare agencies.

New York S03365 amends Section 3621 of the public health law to establish standards for payment of claims submitted by healthcare agencies. The bill mandates that payors must pay clean claims within 30 days if transmitted electronically and within 45 days if submitted by other means. A clean claim must identify the covered person, the nature of services, the date and place of service, substantiate the appropriateness of the service, and confirm prior authorization if required.

New York S03365 amends the public health law to regulate payment of claims submitted by healthcare agencies.

New York S03365 amends Section 3621 of the public health law to establish standards for payment of claims submitted by healthcare agencies. The bill mandates that payors must pay clean claims within 30 days if transmitted electronically and within 45 days if submitted by other means. A clean claim must identify the covered person, the nature of services, the date and place of service, substantiate the appropriateness of the service, and confirm prior authorization if required.