MI HB5478

Health plans must pay clean claims to healthcare providers within 45 days of receipt, with unpaid claims accruing 12% annual simple interest after that deadline

Health plans are prohibited from attempting to retrieve payments from healthcare providers more than 90 days after payment is made, unless the provider was convicted of submitting a fraudulent claim

When seeking to retrieve a payment within the 90-day window, health plans must provide specific information including the reason for retrieval, date of service, service code or description, amount to be retrieved, and contact information

Healthcare providers must submit claims within 1 year of the date of service or hospital discharge for claims to qualify as "clean claims" eligible for payment

Health plans must notify providers within 30 days of receiving a claim if there are defects preventing it from being processed as a clean claim