SB5683 mandates annual reporting on health carrier payment timeliness for clean claims by carriers, managed care organizations, and health plans.
SB5683 requires health insurance carriers, managed care organizations, and health plans to report annually on their timeliness in paying claims submitted by health care providers and facilities. The reports must include data such as the total number of claims submitted, the number of clean claims, the average days to payment, and the percentage of claims paid within 30 days. The commissioner and health care authority must then compile and publish this data, along with summaries and analyses, by July 1, 2027, and annually thereafter.
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