Senate Bill 966 Summary

• Amends the Insurance Code of 1956 to modify claim payment requirements for health insurers, adding requirements for timely processing and payment of claims to health professionals, facilities, and durable medical equipment providers (subsections 7-14).

• Requires "clean claims" to health providers be paid within 45 days of receipt, with simple interest accruing at 12% per annum for unpaid claims; defines "clean claim" with specific documentation requirements.

• Establishes procedures for health plans to notify providers of claim defects within 30 days and allows providers 45 days to correct deficiencies before claims can be denied.

• Adds Section 3479 allowing insurers to withhold payment of claims submitted by hospitals found in violation of Section 21517 of the Public Health Code (patient bill of rights) during the period of violation.

• Takes effect 90 days after enactment, with Section 3479 applying to provider contracts beginning 180 days after enactment; bill effectiveness is contingent on passage of a companion bill (SB___ or HB___).