Bill > H1009

This bill requires certain healthcare carriers to share accountability with providers for uncollectible patient obligations after insurance. Specifically, the bill mandates that carriers reimburse healthcare providers for at least 65% of each uncollected co-payment, co-insurance, and/or deductible amount, as long as the provider has made reasonable collection efforts. The bill defines these key terms and outlines the process for providers to submit reimbursement requests, including documentation requirements and a dispute resolution process. The bill also directs the Division of Insurance to promulgate regulations consistent with Medicare's reasonable collection effort standards, or to adopt those standards directly if the Division fails to act within 90 days. Additionally, the bill requires carriers to provide the Division with an annual report on uncollected patient obligations that were reimbursed or denied, which will be made publicly available.

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https://malegislature.gov/Bills/193/H1009