Health Insurance - Coordination of Benefits - Carrier Responsibilities and Retroactive Denials of Reimbursement

Summary

The bill would make insurers and other health‑benefit providers identify the primary and secondary payors for each claim, state how much each must pay, and ensure total payments don’t exceed the full claim amount. It also shortens the period they may later refuse payment, setting different limits depending on whether the claim involves another insurer, Medicaid or Medicare, or none of these. Providers would receive a written explanation for any retroactive denial.

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

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