KS HB2247

Reviews, audits, or investigations by nonprofit dental service corporations that result in recoupment of funds must be completed within six months of initial payment, with exceptions for fraud, inappropriate billing patterns, coordination of benefits, and federal requirements.

Dental benefit plans and utilization review entities are prohibited from denying claims for procedures that received prior authorization, with limited exceptions for benefit limits reached after authorization, documentation failures, or changes in patient condition.

Contracts between health insurers and dentists cannot limit fees dentists may charge for non-covered services.

Insurers are prohibited from both disallowing a service (denying payment) and preventing the dentist from billing the patient directly when there is dental necessity for the service.

Amends K.S.A. 40-2,185 and takes effect upon publication in the statute book.