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MS SB2224
Bill
Status
3/15/2023
Primary Sponsor
Kevin Blackwell
Click for details
AI Summary
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Authorizes the Mississippi Commissioner of Insurance to adopt rules and regulations to examine and address inequalities or irregularities in provider reimbursement rates paid by insurers, subcontractors, third-party administrators, or other payors for covered services in the state
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Allows insurers to present evidence justifying any inequality or irregularity in reimbursement rates, with non-compliance penalties up to $10,000 per violation
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Requires insurers, upon request, to provide a written list of information and documentation needed to deem a claim "clean," and binds the insurer to that list
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Clarifies that claims submitted by providers more than 30 days after "completion of service" (rather than date of service) do not qualify as clean claims
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Includes a sunset provision repealing the new reimbursement rate examination authority on July 1, 2027
Legislative Description
Commissioner of Insurance; authorize to adopt rules and regulations regarding certain provider reimbursement rates.
Last Action
Vetoed
3/15/2023