A301

Health Insurance Claim Plain Language and Simplification Act mandates clear, simple language on health insurance claim forms.

The Health Insurance Claim Plain Language and Simplification Act requires health insurance carriers to provide explanation of benefits forms to covered persons. These forms must include specific information in a clear, simple format. The required information includes the name of the insured, the health care provider, the date of service, the amount of the claim, the amount paid by the carrier, and the amount to be paid by the covered person.