Loading chat...

MI HB6326

Bill

Status

Introduced

7/21/2010

Primary Sponsor

Bertram Johnson

Click for details

Origin

House of Representatives

95th Legislature

AI Summary

  • Requires health care providers to submit health care claims to carriers in electronic data format beginning July 1, 2011, either directly or through a clearinghouse or billing service.

  • Allows the director to exempt health care providers from the electronic submission requirement upon request if the provider demonstrates hardship due to geographic location.

  • Violations of this requirement by health professionals are considered violations of Article 15 and subject the professional to administrative action under sections 16221(h) and 16226.

  • Defines "carrier" to include insurance carriers, third party administrators, and entities providing administrative services only or cost-plus arrangements.

  • Defines "health care provider" as health facilities, agencies, or licensed/authorized health professionals providing medical or surgical treatment, excluding dentists.

Legislative Description

Health facilities; other; submission of health care claims to insurance carriers; require health facilities and certain health professionals to submit electronically unless hardship exemption is granted by department. Amends 1978 PA 368 (MCL 333.1101 - 333.25211) by adding sec. 20154.

Insurance, health

Last Action

Printed Bill Filed 07/22/2010

7/28/2010

Committee Referrals

Health Policy7/21/2010

Full Bill Text

No bill text available