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Bill > H7113


RI H7113

RI H7113
Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.


summary

Introduced
01/15/2026
In Committee
01/15/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

This act would make it an unfair claim practice whenever a dental insurer refuses to honor a “direction to pay” after a request by the claimant or the insured. This act would allow the insurer to review the records of the service provider to verify that the services were received, but prohibits the insurer from modifying the amount of benefits to be paid. This act would not allow a contract between the insurer and a dental service provider requiring the provider to accept payment for services only by virtual credit card. This act would take effect upon passage.

AI Summary

This bill amends the "Unfair Claims Settlement Practices Act" to prohibit dental insurers from refusing to honor a "direction to pay" from an insured or claimant, which is a request to pay a dental service provider directly for covered dental services, even if the provider is not contracted with the insurer, as long as they meet the insurer's credentialing criteria and haven't been terminated. The bill also prevents insurers from modifying the amount of benefits paid directly to these providers, though they can review records to verify services were rendered. Furthermore, it makes it an unfair claims practice for dental insurers to require dental service providers to accept payment solely through virtual credit cards, instead mandating that insurers offer alternative payment methods and provide clear instructions for their selection without charging fees for payment access or processing.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced, referred to House Corporations (on 01/15/2026)

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