Ohio HB891 establishes the Fair Health Claims Act to prevent health insurers from improperly denying health claims.

Ohio HB891, the Fair Health Claims Act, aims to prohibit health insurers from wrongfully denying, reducing, or terminating health care services or payments. The act mandates that health insurers consider specified factors when reviewing claims, including medical records and clinical reviewer opinions. It also establishes a medical claims consumer assistance program to help consumers navigate appeals and file complaints. The superintendent of insurance can impose penalties, including fines and license suspension, for violations.

Ohio HB891 establishes the Fair Health Claims Act to prevent health insurers from improperly denying health claims.

Ohio HB891, the Fair Health Claims Act, aims to prohibit health insurers from wrongfully denying, reducing, or terminating health care services or payments. The act mandates that health insurers consider specified factors when reviewing claims, including medical records and clinical reviewer opinions. It also establishes a medical claims consumer assistance program to help consumers navigate appeals and file complaints. The superintendent of insurance can impose penalties, including fines and license suspension, for violations.