Pennsylvania SB1342 amends insurance billing rules for emergency medical services.
Pennsylvania SB1342 amends the Insurance Company Law of 1921 to establish billing procedures for emergency medical services. Insurers must directly reimburse nonnetwork EMS agencies within 45 days at 350% of the Medicare rate for 911 services. EMS agencies cannot bill insured individuals directly, except for cost-sharing amounts. Insurers cannot require EMS agencies to contract for reimbursement. The bill applies to nonnetwork EMS agencies unless preempted by federal law.
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