Bill > S670

This bill aims to require certain healthcare carriers to share accountability with providers for uncollectible patient obligations after insurance. Specifically, it would require carriers to reimburse healthcare providers at least 65% of uncollected co-payments, co-insurance, and deductibles after reasonable collection efforts have been made by the provider. The bill defines these key terms and outlines the process for providers to submit reimbursement requests to carriers, including documentation requirements and a dispute resolution mechanism. The bill also directs the state's Division of Insurance to promulgate regulations consistent with Medicare's reasonable collection efforts guidelines, or else the provisions would be self-implementing based on those federal guidelines. Additionally, the bill would require carriers to provide the Division with annual reports on the total amount of uncollected co-pays, co-insurance, and deductibles that are reimbursed and denied.

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https://malegislature.gov/Bills/192/S670