Establishes a procedure for health insurers to reimburse healthcare providers for unpaid co-payments, co-insurance, and deductibles after reasonable.
This bill establishes a procedure for health insurers to reimburse healthcare providers at least 65% of unpaid co-payments, co-insurance, or deductible amounts after reasonable collection efforts. Healthcare providers must submit an annual aggregate request for reimbursement, including documentation of collection efforts and details of the unpaid amounts. Health insurers must audit these requests and notify providers of any disputes within 120 days. Insurers must then pay the undisputed amounts within another 120 days.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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