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IL HB4443
Bill
Status
1/8/2019
Primary Sponsor
Robyn Gabel
Click for details
AI Summary
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Requires all managed care plans to pay health care claims and indemnities within 30 days of receipt of a complete claim submitted on CMS-1500 or UB-04 forms with specified minimum required information.
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Mandates that managed care plans notify providers of any missing documentation within 30 days of claim receipt, specifying in detail what information is needed to satisfy payment requirements.
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Requires managed care plans to reimburse any undisputed portions of claims within 30 days of receipt, with late payments subject to 9% annual interest.
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Grants the Department of Insurance authority to issue cease and desist orders, fines, or other penalties against managed care plans, independent practice associations, and physician-hospital organizations that violate timely payment provisions.
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Applies timely payment requirements to policies issued to the Department of Healthcare and Family Services covering persons enrolled in Medicaid or the Children's Health Insurance Program.
Legislative Description
INS CD-MANAGED CARE PLAN CLAIM
Last Action
Session Sine Die
1/8/2019