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AZ HB2035

Bill

Status

Engrossed

2/23/2024

Primary Sponsor

David Cook

Click for details

Origin

House of Representatives

Fifty-sixth Legislature - Second Regular Session (2024)

AI Summary

  • 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.

  • 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.

  • 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.

  • 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.

  • 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

Committee Referrals

Rules2/29/2024
Health and Human Services2/23/2024
Appropriations2/22/2024
Rules1/8/2024
Health and Human Services1/8/2024

Full Bill Text

No bill text available