Bill > HB1864

This bill amends the Uniform Electronic Transactions in Dental Care Billing Act to update and expand requirements for electronic billing in dental care. Beginning January 1, 2027, dental plan carriers will be required to establish a comprehensive online portal that provides detailed benefit and eligibility information, including specifics like plan effective dates, covered services, deductibles, coinsurance percentages, and prior authorization requirements. The bill creates exemptions for certain dental care providers, such as solo practitioners working less than 16 hours per week or those experiencing temporary technological disruptions, who must file a form with the Department of Insurance indicating their exemption. Dental plan carriers must create portals that allow electronic claim submissions, accept electronic attachments like x-rays, and provide detailed remittance advice with payments. Importantly, the bill specifies that dental care providers are not required to accept only electronic payments and can request alternative payment methods without additional fees. The legislation aims to standardize and streamline dental care billing processes while maintaining flexibility for providers, with a focus on increasing efficiency, reducing paperwork, and improving information sharing through secure electronic data interchange, all while maintaining compliance with federal privacy and security laws like HIPAA (Health Insurance Portability and Accountability Act).

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https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1864&GAID=18&DocTypeID=HB&SessionID=114&GA=104