Bill > H5066

This bill addresses several key practices related to medical claims processing and insurance, focusing on improving transparency and fairness for patients and healthcare providers. The bill introduces three main provisions: first, it prohibits health insurers and medical providers from denying claims solely because they arise from a motor vehicle accident or third-party claim (with an exception for worker's compensation claims); second, it requires medical providers to process medical record requests within fourteen days of receiving a written request; and third, it mandates that health care entities cannot make payments under a policyholder's first-party coverage without obtaining the policyholder's express written consent. These changes are implemented across multiple sections of Rhode Island's General Laws, specifically affecting regulations for medical licensing, healthcare facilities, and various types of health insurance entities. The bill aims to streamline claims processing, protect patient rights, and ensure more transparent communication between healthcare providers, insurers, and patients. By establishing clear timelines for record requests and claim processing, and preventing arbitrary claim denials, the legislation seeks to reduce potential barriers to healthcare access and reimbursement. The bill will take effect immediately upon its passage.

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