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AZ HB2035
Bill
Status
2/23/2024
Primary Sponsor
David Cook
Click for details
AI Summary
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Amends health insurance claim payment requirements to establish a 30-day deadline for health insurers to adjudicate clean claims and pay approved portions, with interest accruing if payment is delayed.
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Requires health insurers to provide health care providers with contact information for claim denial inquiries and detailed reasons for medical necessity denials within 15 days of request.
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Establishes a new dispute resolution process allowing health care providers to request administrative hearings through the Department of Insurance within 30 days if internal grievances remain unresolved.
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Reduces the credentialing timeline for new participating providers from 100 days to 145 calendar days after receipt of a complete application, with written confirmation required within 2-7 business days depending on application status.
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Requires health insurers to pay claims for covered services provided by participating providers retroactively to the date of the provider's complete credentialing application approval.
Legislative Description
Insurance; claims; appeals; provider credentialing
Insurance Claims
Last Action
Senate APPROP Committee action: Do Pass Amended, voting: (9-0-1-0)
3/19/2024