Proyectos de ley › 88.ª Asamblea General
Relating to timely submission of claims by health care providers to health insurers
Presentado por el comité Commerce del Senado
Temas:Business & economyHealth careMedicaid
La misma legislación: SSB 1202
Dónde está ahora
- Hecho: Presentado6 de marzo de 2019
- Hecho: Subcomité14 de enero de 2020
- Hecho: Comité del Senado6 de marzo de 2019
- Se detuvo: Lo aprueba el SenadoMurió al terminar la Asamblea General
- Sigue: Comité de la Cámara
- Sigue: Lo aprueba la Cámara
- Sigue: A gobernador(a)
- Sigue: Firmado como ley
Murió al terminar la sesión La sesión de 2020 terminó el 14 de junio de 2020, la última sesión ordinaria de la Asamblea General. Los proyectos que no pasaron por ambas cámaras murieron. ¿Qué es el embudo (funnel)?
Qué contiene
Resumen con IA Health care providers will have up to one year to send claims to health insurers for services they provided. They also have one year from a final decision to ask an insurer to look at a claim again. If a provider waits more than two years to submit a claim, the insurer does not have to pay it. These rules apply to most health insurers and providers but do not include Medicaid. (Todavía no está traducido al español.)1
Lea la explicación oficial (en inglés)
This bill relates to the timely submission of claims by health care providers to health insurers. The bill defines “health insurer”, “health care provider”, and “health care services”. The bill provides that a health care provider shall have up to 365 days after the date of the provision of health care services to submit a claim to a health insurer. The provider has up to 365 days from the date of the last adjudication by a health insurer to resubmit a claim for adjustment or reconsideration. A claim submitted two or more years from the date of provision of health care services shall not be paid by an insurer. These provisions of the bill apply to all health insurers and health care providers except Medicaid providers and Medicaid managed care organizations. The bill makes conforming changes.
Senate subcommittee
Named January 14, 2020. It hasn’t reported yet.
- Sen. Jake Chapman R
- Sen. Liz Mathis D
- Sen. R. Smith
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Lo que cambia del Código de Iowa (Iowa Code)
Crea§507B.04B
Cabildeo
4 a favor · 1 en contra · 24 indecisos · Quiénes →
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Study bill
88th General Assembly