HB3748 Summary

• Prohibits recoupment or offset requests from future insurance payments if 60 or more days have passed since the original payment was made.

• Requires insurers to provide health care professionals and providers at least 30 days to review contracts before signing, including fee schedules and capitation schedules.

• Mandates detailed remittance advice identifying claim disposition, services billed, payment amounts, and reasons for any claim reductions or denials.

• Increases civil penalties for insurance companies issuing policies in willful violation from $1,000 to $5,000.

• Applies new contracting and payment procedures to all health care professional and provider service contracts, including those entered into before the effective date.