Bill > S643

This bill aims to require certain healthcare carriers to share accountability with providers for uncollectible patient obligations after insurance. The key provisions are: 1. Carriers must reimburse healthcare providers at least 65% of uncollected co-payments, co-insurance, and deductibles, after the providers have made reasonable collection efforts for over 120 days. 2. Providers must submit aggregate annual reimbursement requests for claims of at least $250 per service, with documentation of their collection efforts. 3. Carriers must complete audits of the reimbursement requests within 120 days and pay the undisputed amounts. 4. Providers must report any subsequent collections of reimbursed amounts as offsets to future submissions. 5. The state's Division of Insurance must promulgate regulations consistent with Medicare's reasonable collection efforts, or the self-implementing provisions of the bill will apply. 6. Carriers must provide the Division an annual report on the total uncollected amounts reimbursed and denied, to be made publicly available.

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https://malegislature.gov/Bills/193/S643