Bill > H1171

This bill amends the General Laws of Massachusetts to require dental benefit plans to allow individuals insured by such plans to assign their benefits directly to a dental care provider that meets the plan's credentialing criteria, even if the provider is not contracted with the plan. The bill allows the plan to reduce the amount paid to the provider by up to 5% of the usual and customary rates paid to participating dentists. The plan also has the right to review the provider's records related to the specific patient to determine that the services were rendered. The bill does not apply to certain limited insurance policies, such as disability income or long-term care.

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https://malegislature.gov/Bills/192/H1171