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MA S807
Bill
Status
2/27/2025
Primary Sponsor
Patrick O'Connor
Click for details
AI Summary
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Creates new Chapter 176X in Massachusetts General Laws requiring dental benefit plans to allow insured individuals to direct that insurance payments be made directly to out-of-network dental providers who meet the carrier's credentialing criteria
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Requires insurers to pay out-of-network dentists at least the same rate as in-network participating dentists when a patient executes a written assignment of benefits
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Grants dental insurers the right to review dentist records related to a specific patient to verify services were rendered when paying under an assignment of benefits
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Applies to all stand-alone dental plans issued by insurers under chapters 175, 176B, 176E, 176G, and 176I, covering both individual and group policies
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Excludes hospital confinement indemnity, disability income, accident-only, long-term care, Medicare supplement, limited benefit health, specified disease indemnity, and other limited benefit policies from these requirements
Legislative Description
Relative to dental insurance assignment of benefits
Last Action
Accompanied a study order, see S2787
12/4/2025