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FL H1109
Bill
Status
4/30/2021
Primary Sponsor
Michael Grieco
Click for details
AI Summary
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Revises the timeframe for health insurers and health maintenance organizations (HMOs) to submit overpayment claims against providers from 30 months to 12 months after initial payment.
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Applies the 12-month timeframe to all overpayment claims resulting from retroactive reviews or audits of coverage decisions or payment levels not related to fraud.
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Applies the 12-month timeframe specifically to overpayment claims against providers licensed under chapters 458, 459, 460, 461, or 466 (physicians, dentists, and other healthcare professionals).
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Permits overpayment claims beyond 12 months only for providers convicted of fraud under section 817.234.
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Becomes effective July 1, 2021.
Legislative Description
Timeframes for Overpayment Claims By Health Insurers
Last Action
Died in Finance & Facilities Subcommittee
4/30/2021