FL H1023

Amends Florida's statewide provider and health plan claim dispute resolution program (s. 408.7057) to make participation mandatory for both providers and health plans, with no opt-out provision allowed

Expands the definition of "claim dispute" to include denied prior authorization requests, and requires health plans that lose disputes involving denied prior authorizations to reimburse providers for reasonable costs including filing fees and administrative costs

Prohibits health insurers and HMOs from specifying credit card payment as the only method for paying providers, and bars charging fees for automated clearinghouse transfers unless the provider consents

Prevents health insurers and HMOs from denying claims for procedures that received prior authorization, except in specific circumstances such as benefit limits being reached, documentation failures, patient condition changes, fraud, or eligibility issues

Effective date is July 1, 2026, with new provider contract provisions applying to contracts delivered, issued, or renewed on or after January 1, 2027