Health care claims reimbursement.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Enrolled
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Overview
This bill changes the rules for how health care claims are processed. Currently, providers have a limited time to correct errors on a denied claim. This bill extends that time to 90 days, allowing providers more time to submit a corrected claim without facing denial due to a missed filing deadline. It applies to both health care service plans and health insurers. The bill also clarifies that no state reimbursement is required for local agencies or school districts due to the changes it makes.
Key provisions
- Providers have 90 days to submit a corrected claim after a denial or overpayment notice.
- Plans and insurers cannot deny a corrected claim solely because the original claim was submitted after the deadline.
- The extension applies to both health care service plans and health insurers.
- The bill adds sections to the Health and Safety Code and the Insurance Code.
- No state reimbursement is required for local agencies or school districts.
- The bill creates a new crime or infraction.
- The bill changes the penalty for a crime or infraction.
- The bill changes the definition of a crime.
Who is affected
- Health care providers
- Health care service plans
- Health insurers
- Patients
- Local agencies and school districts
Notable changes
- Extends the time providers have to correct claim errors from 30 days to 90 days.
Bill text
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Sponsors
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2 on record
Primary sponsor
Cosponsor
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