Establishes timeframes for the payment of claims to hospitals.

This bill amends the insurance law to establish timeframes for the payment of claims to hospitals. It mandates that insurers or organizations pay claims within specified periods, regardless of medical necessity or administrative policies. The bill also outlines procedures for post-payment reviews, including the formation of a joint committee for documentation review and the use of independent third-party review agents. It sets forth penalties for inappropriate billing and provides for automatic appeals in certain cases.

Establishes timeframes for the payment of claims to hospitals.

This bill amends the insurance law to establish timeframes for the payment of claims to hospitals. It mandates that insurers or organizations pay claims within specified periods, regardless of medical necessity or administrative policies. The bill also outlines procedures for post-payment reviews, including the formation of a joint committee for documentation review and the use of independent third-party review agents. It sets forth penalties for inappropriate billing and provides for automatic appeals in certain cases.