Bill > H523

This bill requires certain healthcare carriers to share accountability with providers for uncollectible patient obligations after insurance. Specifically, the bill mandates that carriers reimburse healthcare providers no less than 65% of each uncollected co-payment, co-insurance, and deductible amount, provided the provider has made reasonable collection efforts. The bill defines these key terms and outlines the process for providers to submit reimbursement requests to carriers annually. It also directs the state Division of Insurance to promulgate relevant regulations consistent with Medicare's reasonable collection efforts, or to use Medicare's standard if the Division fails to act. Additionally, the bill requires carriers to report annually to the Division on the total number and amount of uncollected co-payments, co-insurances, and deductibles that are reimbursed and denied.

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https://malegislature.gov/Bills/190/H523