Bill > H1086

This bill requires healthcare carriers to share accountability with providers for uncollectible patient obligations after insurance. Specifically, it mandates that carriers reimburse healthcare providers at least 65% of the co-payments, co-insurance, and deductibles that remain unpaid after the provider has made reasonable collection efforts. The bill defines key terms like "co-payment," "co-insurance," and "deductible," and outlines the process for providers to submit reimbursement requests to carriers. It also directs the state Division to promulgate regulations consistent with the Centers for Medicare & Medicaid Services' reasonable collection efforts, and requires carriers to report annually on the total amount of uncollected co-payments, co-insurances, and deductibles that are reimbursed or denied.

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https://malegislature.gov/Bills/192/H1086