MI SB0878

Allows physicians, hospitals, clinics, and other providers to charge a reasonable amount for products, services, and accommodations provided to injured persons covered by personal protection insurance, not to exceed what they customarily charge in non-insurance cases.

Requires paper claims for these charges to use the same claim forms and code sets required under Medicare (42 USC 1395-1395iii) and HIPAA electronic transaction standards (45 CFR parts 160 and 162).

Mandates submission of all charges to the automobile insurer or third-party payer within 90 days after service is rendered or within 90 days after the provider knew or should have known the insurer's identity, with the 90-day period tolled during third-party payer submissions and extendable upon written justification.

Requires that providers rendering treatment or training in Michigan be fully licensed or registered if licensure or registration is required by the state.

Exempts hospitals from the 90-day submission requirement and excludes attendant care provided by family members, permanent household residents, or individuals not required to be licensed or registered.