FL S1386

Reduces the timeframe for health insurers to submit overpayment claims to providers from 30 months to 12 months after payment of the original claim.

Reduces the timeframe for health maintenance organizations to submit overpayment claims to providers from 30 months to 12 months after payment of the original claim.

Allows both health insurers and HMOs to seek overpayment claims beyond the 12-month period only from providers convicted of fraud under s. 817.234.

Eliminates the separate 12-month submission requirement for claims against providers licensed under chapters 458, 459, 460, 461, and 466, making the 12-month limit uniform for all providers.

Takes effect July 1, 2021.