To require payment by insurers directly to the out-of-network emergency medical services agency and the prompt payment of clean claims.
To House Finance
Summary
The bill forces health insurers to send payment for ground ambulance services provided by non‑participating emergency medical services agencies straight to the agency, not to the patient, within 30 days of receiving a clean claim. It also obligates insurers to give written notice within 30 days when a claim is not clean, explaining why payment is delayed or denied. The measure aims to speed reimbursement for out‑of‑network ambulance providers and reduce billing disputes.
AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.
Topics
Track this bill
Get real-time alerts when HB 5379 changes status, plus AI-powered summaries and stage predictions.
Sign up free