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DE HB267
Bill
Status
6/23/2016
Primary Sponsor
Bryon Short
Click for details
AI Summary
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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
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Mandates that health insurers establish written policies and procedures allowing healthcare providers to challenge overpayment recovery claims
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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
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Applies to all health insurers including insurance companies, health service corporations, HMOs, managed care organizations, and third-party administrators
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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