IA HF4

Health care professionals must submit reimbursement claims to a patient's primary health benefit plan before submitting claims to any secondary health benefit plan designated by the covered person or their personal representative

Primary health benefit plans are required to provide a copy of the explanation of benefits (EOB) within 30 calendar days when requested by the covered person, their personal representative, or their secondary health benefit plan

Creates new section 147.165 establishing claims submission requirements for health care professionals treating covered persons

Creates new section 514A.16 governing explanation of benefits procedures between primary and secondary health benefit plans

Defines key terms including "covered person," "health benefit plan," "health care professional," "health care services," and "personal representative" by reference to existing Iowa Code sections and federal regulations