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IN SB0065
Bill
Status
1/5/2011
Primary Sponsor
Patricia Miller
Click for details
AI Summary
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Requires health insurers and HMOs to make benefit payments directly to out-of-network dentists, ambulance providers, and providers in situations where patients have no choice of provider, when the provider has an assignment of benefits from the patient
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Mandates insurers pay noncontracted providers within 30 days if payment was mistakenly sent to the patient instead of the provider, and requires notice of payment disputes within 14 business days
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Requires out-of-network providers to disclose in writing that they are not contracted with the patient's insurer and that the patient may be billed for uncovered services, with exceptions for emergencies, unconscious patients, or when provider is unaware of coverage
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Prohibits insurers from treating a provider's acceptance of benefit assignment as agreement to accept the insurer's fee schedule as full or partial payment
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Imposes interest penalties on insurers for noncompliance at the same rate used for Medicaid claims, effective July 1, 2011
Legislative Description
Out of network health provider payments.
Last Action
Amendment 2 (Alting), prevailed;
2/17/2011