Bill > HB739

This bill requires insurers, nonprofit health service plans, and health maintenance organizations to either pay a claim for reimbursement within 30 days of receiving it or send a notice explaining why they are refusing to pay, requesting more information, or stating the claim is not "clean" (meaning it lacks necessary information). If an insurer refuses to pay all or part of a claim, it will be considered a denial of that claim. The bill also clarifies rules for when insurers can use credit cards or electronic funds transfers for payments to providers, ensuring providers are notified of any fees and offered an alternative payment method without fees. Additionally, it mandates that providers have at least 180 days to submit a claim and 90 working days to appeal a denial, and it establishes penalties, including interest on late payments, for violations.