Rhode Island H7722 clarifies how dental insurance benefits are paid directly to providers.

Rhode Island H7722 amends existing laws to clarify the process for paying dental insurance benefits directly to providers. It mandates that insurance entities allow policyholders to direct benefits to any provider meeting credentialing criteria, not just contracted ones. The payment amount must be at least the highest reimbursement for the service, without using tiered structures or network classifications to reduce it. The entity can review records related to the specific patient to verify service and treatment criteria. This act takes effect on January 1, 2027.

Rhode Island H7722 clarifies how dental insurance benefits are paid directly to providers.

Rhode Island H7722 amends existing laws to clarify the process for paying dental insurance benefits directly to providers. It mandates that insurance entities allow policyholders to direct benefits to any provider meeting credentialing criteria, not just contracted ones. The payment amount must be at least the highest reimbursement for the service, without using tiered structures or network classifications to reduce it. The entity can review records related to the specific patient to verify service and treatment criteria. This act takes effect on January 1, 2027.