Loading chat...
RI H7113
Bill
Status
1/15/2026
Primary Sponsor
Joseph McNamara
Click for details
AI Summary
-
Amends Rhode Island's Unfair Claims Settlement Practices Act to require dental insurers to honor "direction to pay" requests from insureds or claimants, allowing direct payment to any dental provider who meets the insurer's credentialing criteria, regardless of network participation status
-
Prohibits insurers from reducing or modifying benefit amounts paid directly to dental providers compared to what participating providers receive, while preserving the insurer's right to review patient records to verify services were rendered
-
Bans contracts between insurers and dental providers that require providers to accept payment only by virtual credit card; insurers must offer alternative payment methods with clear instructions
-
Prohibits insurers from charging dental providers any fees for access to payment or claims data, or for transmission, processing, or mailing of payments
-
Takes effect upon passage and applies to all domestic, foreign, or alien insurers settling dental claims in Rhode Island regardless of where the policy originated
Legislative Description
Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.
Insurance
Last Action
Introduced, referred to House Corporations
1/15/2026