AR HB1299

Healthcare insurers are prohibited from seeking recoupment (recovery of payments already made) from healthcare providers more than 365 days after the original claim payment, except in cases of fraud

Insurers must provide written documentation specifying the recoupment amount, patient information, service date, and specific reason for the recoupment, and must suspend collection efforts if the provider files an internal appeal

Recoupment is prohibited when a provider verified patient eligibility with the insurer and provided services in good-faith reliance on that verification

Insurers cannot pursue recoupment based on retroactive medical necessity or level of service determinations if the provider obtained prior authorization, except in fraud cases

Violations of these recoupment restrictions constitute unfair trade practices under Arkansas Code § 23-66-201 et seq.