Insurance Claims Payments to Health Care Providers

Summary

The bill would require the Agency for Health Care Administration to establish a statewide, mandatory dispute‑resolution system using an independent third‑party to handle denied prior authorizations and other claim issues. It applies to both contracted and non‑contracted providers and health plans, sets strict filing and documentation timelines, and limits payment methods and fees. Annual reports would track disputes, defaults, and compliance patterns.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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