MA S758

Health insurance carriers must reimburse healthcare providers at least 65% of uncollected co-payments, co-insurance, and deductibles after providers demonstrate reasonable collection efforts

Claims must be at least $250 and remain unpaid for more than 120 days from the first bill date, with documented collection attempts including phone calls, letters, or other contact methods

Providers must submit aggregate reimbursement requests by May 1 each year for the prior calendar year's uncollected amounts, including insured identification, service dates, and collection documentation

Carriers have 120 days to audit requests, notify providers of disputes, and pay undisputed amounts; any patient payments collected after carrier reimbursement must be reported as offsets to future submissions

The Division of Insurance must promulgate regulations within 90 days and require carriers to file annual public reports on the total number and amount of reimbursed and denied uncollected patient obligations