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MI HB6326
Bill
Status
7/21/2010
Primary Sponsor
Bertram Johnson
Click for details
AI Summary
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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.
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Allows the director to exempt health care providers from the electronic submission requirement upon request if the provider demonstrates hardship due to geographic location.
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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.
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Defines "carrier" to include insurance carriers, third party administrators, and entities providing administrative services only or cost-plus arrangements.
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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