Bill > HB2874

This bill requires health insurers and property or casualty insurers to report potentially suspicious claims activities to state regulatory departments. Specifically, if a health insurer identifies a pattern where a health care provider files an unusually high number of insurance claims that exceeds what could reasonably be expected based on the number of patients treated in a single workday, they must notify both the state department and the professional licensing board overseeing that health care provider. Similarly, if a property or casualty insurer detects claims activities that suggest potential insurance or health care fraud, they are also required to report these findings to the relevant department and licensing board. The bill defines a "health care provider" as any professional licensed, registered, or certified as a health care professional under Title 32 of Arizona law, and "health insurer" is broadly defined to include various types of disability and medical service insurers. The goal appears to be enhancing oversight and early detection of potential fraudulent or excessive insurance claim practices in the healthcare industry.

Budget and Finance

https://apps.azleg.gov/BillStatus/BillOverview/83347