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DE HB267

Bill

Status

Engrossed

6/23/2016

Primary Sponsor

Bryon Short

Click for details

Origin

House of Representatives

148th General Assembly

AI Summary

  • Requires health insurers to provide 30 days written notice to healthcare providers before initiating overpayment recovery efforts, including patient name, service date, payment amount, and explanation of the proposed adjustment

  • Mandates that health insurers establish written policies and procedures allowing healthcare providers to challenge overpayment recovery claims

  • Limits overpayment recovery efforts to 24 months from the original payment date, except in cases of suspected fraud, self-insured plan requests, or state/federal government plan requirements

  • Applies to all health insurers including insurance companies, health service corporations, HMOs, managed care organizations, and third-party administrators

  • Takes effect 90 days after enactment

Legislative Description

An Act To Amend Title 18 Of The Delaware Code Relating To Health Insurance.

Last Action

Reported Out of Committee (INSURANCE & TELECOMMUNICATIONS) in Senate with 4 On Its Merits

6/28/2016

Committee Referrals

Insurance & Telecommunications6/23/2016
Economic Development/Banking/Insurance/Commerce3/3/2016

Full Bill Text

No bill text available