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FL S0892
Bill
AI Summary
- Contracts between dental insurers (including health insurers, HMOs, and prepaid limited health service organizations) and dentists may not specify credit card payment as the only acceptable method for claims payments
- Insurers must notify dentists of all available payment methods and associated fees, and obtain the dentist's signed consent before paying claims through electronic funds transfer, including virtual credit cards; consent applies to the dentist's entire practice and may not be required on a patient-by-patient basis
- Insurers may not charge a fee to transmit payment to a dentist via Automated Clearing House (ACH) transfer unless the dentist has consented to the fee
- Dental insurers are prohibited from denying claims for procedures specifically included in a prior authorization, with limited exceptions such as benefit limits being reached, fraudulent claims, patient ineligibility, changed medical necessity, or another payor being responsible
- The Office of Insurance Regulation is authorized to enforce these provisions, and the Financial Services Commission may adopt implementing rules; the act applies to contracts delivered, issued, or renewed on or after January 1, 2025
Legislative Description
Dental Insurance Claims
Last Action
Chapter No. 2024-196
5/20/2024
Committee Referrals
Fiscal Policy2/15/2024
Appropriations Subcommittee on Agriculture, Environment, and General Government2/8/2024
Full Bill Text
No bill text available