AZ SB1628

Requires health care services plans to submit annual reports to the Department of Insurance by July 1, 2027 detailing claims denial data, including total claims, denials, appeals at six different review levels, and downcoded claims

Mandates reporting of the top ten most-denied inpatient and outpatient services in four categories (medical/surgical, diagnostic, behavioral health, orthopedic) plus the top five denial reasons

Establishes identical reporting requirements for prior authorization practices, including denial rates, appeal outcomes, and average/median response times for standard and expedited authorizations

Requires the department to publish aggregated reports by October 31 each year, naming each health care plan individually, maintaining three years of reports on its website, and sending copies to legislative leadership

Directs the department to convene a stakeholder meeting by July 1, 2032 to evaluate the usefulness of collected data and submit recommendations to the governor and legislature by October 31, 2032