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MT SB448
Bill
AI Summary
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Health carriers must pay clean claims within 14 calendar days for electronic submissions or 30 calendar days for other submissions
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Claims automatically become "clean claims" if the carrier fails to notify providers of deficiencies within 10 days (electronic) or 15 days (non-electronic) of receipt
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Late payments require interest at the 3-month treasury rate plus 0.1%, and interest costs cannot count toward the carrier's medical loss ratio
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Civil penalties include up to $25,000 per noncompliance determination plus up to $10,000 per week the violation continues
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Aggrieved parties may bring private civil actions after providing 90-day written notice to the Insurance Commissioner if violations are not corrected
Legislative Description
Generally revise laws related to payments made by health carriers
Health
Last Action
(S) Died in Process
5/23/2025