Requires insurers to pay out-of-network emergency medical services agencies directly and promptly pay clean claims.

West Virginia HB5379 mandates that insurers remit payment directly to out-of-network emergency medical services agencies for covered ground ambulance services within 30 days of receiving a clean claim. Insurers must not send payment to the covered individual. If a claim is not clean, insurers must notify the agency within 30 days of the claim receipt, stating the reasons for declining payment or requesting additional information.

Requires insurers to pay out-of-network emergency medical services agencies directly and promptly pay clean claims.

West Virginia HB5379 mandates that insurers remit payment directly to out-of-network emergency medical services agencies for covered ground ambulance services within 30 days of receiving a clean claim. Insurers must not send payment to the covered individual. If a claim is not clean, insurers must notify the agency within 30 days of the claim receipt, stating the reasons for declining payment or requesting additional information.