Bill > SB166

This bill amends Ohio state law to prohibit health insurers and the Medicaid program from charging fees for electronic claims submission by healthcare providers. Specifically, the bill prevents third-party payers (like health insurance companies) and the Department of Medicaid from imposing any charges, fees, or payment deductions when healthcare providers submit claims electronically. The legislation maintains existing requirements for providers to use electronic claims submission processes, with some exceptions for certain types of providers like nursing facilities and Medicaid managed care organizations. The bill ensures that providers cannot be financially penalized for using electronic methods to submit claims for healthcare services, whether through electronic fund transfers, remittance advice transactions, or other electronic submission processes. This change aims to reduce administrative barriers and costs for healthcare providers when processing insurance and Medicaid claims, making the electronic claims submission process more accessible and financially neutral for providers.

Health and Social Services

https://www.legislature.ohio.gov/legislation/136/sb166