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

This bill amends the insurance law to change the lookback period for insurance overpayment recovery from health care providers from twenty-four months to twelve months. This means that health plans can only recover overpayments from providers within twelve months of the original payment, unless the overpayment 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 lookback period.

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

This bill amends the insurance law to change the lookback period for insurance overpayment recovery from health care providers from twenty-four months to twelve months. This means that health plans can only recover overpayments from providers within twelve months of the original payment, unless the overpayment 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 lookback period.