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IL HB4443

Bill

Status

Failed

1/8/2019

Primary Sponsor

Robyn Gabel

Click for details

Origin

House of Representatives

100th General Assembly

AI Summary

  • 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.

  • 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.

  • Requires managed care plans to reimburse any undisputed portions of claims within 30 days of receipt, with late payments subject to 9% annual interest.

  • 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.

  • 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

Committee Referrals

Rules4/13/2018
Appropriations-Human Services2/12/2018
Rules1/31/2018

Full Bill Text

No bill text available