CT SB00016

Extends claim payment deadlines from 45 days to 60 days for paper-filed claims and 15 days for electronically-filed claims; extends deadline to 30 days (paper) or 15 days (electronic) after receiving requested information for deficient claims.

Directs the Insurance Commissioner to establish procedures for solicitation and maintenance of health care providers in provider networks.

Requires entities contracting with health care providers to maintain networks consistent with National Committee for Quality Assurance's Managed Behavioral Healthcare Organization Standards and Guidelines.

Prohibits utilization review companies and insurers from reversing authorizations or refusing payment for admissions, services, procedures, or extensions of stay that have taken place in reliance on prior authorization or certification.

Prohibits dental plan contracts from requiring dentists to provide covered services or procedures at set fees unless such services are covered benefits under the enrollee's dental plan, with exceptions for self-insured plans and collective bargaining agreements.