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MS SB2988
Bill
AI Summary
- Health care insurers may only recoup payments from providers within 18 months of paying a claim, except in cases of fraud.
- Insurers exercising recoupment must provide written or electronic notice to the provider specifying the basis for recoupment, including the amount, patient name, dates of service, and specific reason.
- If a provider verified a person's coverage in good faith with the insurer, recoupment is prohibited unless fraud occurred; insurers have 120 days to notify providers of good-faith verification errors.
- Non-compliance with this act is deemed an unfair trade practice subject to fines and penalties under Mississippi insurance law.
- The Commissioner of Insurance shall adopt rules and regulations for compliance, and the provisions cannot be waived by contract; effective July 1, 2010.
Legislative Description
Health insurance; limit insurers' recoupment of payments to health care providers.
Last Action
Died In Committee
2/2/2010
Full Bill Text
No bill text available