HI SB736

Requires health insurers to provide written notice to health care providers at least 30 calendar days before initiating any recoupment or offset demands, with specified information prominently displayed (patient name, service date, payment amount, reason for recoupment, and appeal procedures).

Prohibits insurers from initiating recoupment or offset efforts more than 18 months after an initial claim payment was received by a health care provider, except for self-insured employer groups, national provider networks, federally financed plans (Medicaid, Medicare, Medigap), and coordination of benefits cases.

Extends the recoupment time limit to 72 months for cases involving fraud or material misrepresentation, in contrast to the state's six-year statute of limitations on fraud.

Allows health care providers 60 days from receipt of the recoupment notice to initiate an appeal of the recoupment or offset demand.

Applies to accident and health insurance providers, mutual benefit societies, dental service corporations, and health maintenance organizations offering comprehensive medical plans.