Bills › 91st General Assembly
Relating to the recovery of overpayment of a claim by a dental carrier
Topics:Business & economy
Same legislation: HF 637
Where it is now
- Done: IntroducedFebruary 17, 2025
- Done: SubcommitteeFebruary 17, 2025
- Done: House committeeFebruary 25, 2025
- Next: Passes the House
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Became HF 637 → Its progress continues under the new number. Go to HF 637 What’s a funnel?
What’s in it
This bill relates to the recovery of an overpayment of a claim by a dental carrier. Under the bill, a carrier shall establish written policies and procedures for a provider to appeal an overpayment recovery or overpayment recovery request. “Overpayment” is defined in the bill. A carrier shall notify a provider of the policies and procedures to appeal the overpayment recovery or overpayment recovery request, and such policies and procedures must allow a provider to appeal such recovery or request within a minimum of calendar days after the notice is received.
Read the full explanation
_____ to access the claim information that is the subject of the overpayment dispute. A carrier shall not attempt to recover an overpayment made to a provider unless, no later than 365 calendar days after the date the provider receives the overpayment, the carrier provides written notice of the overpayment to the provider identifying the error made in the processing or payment, and stating a request for recovery of the overpayment or notice of withholding or reducing a payment to the provider. A carrier may attempt to recover an overpayment by withholding or reducing payment to a provider for a different claim if the carrier notifies the provider in writing within one calendar day after the date of withholding or reducing the payment for the other claim. The notice must identify the original claim that was overpaid, the claim being withheld or reduced, and the amount being withheld or reduced for the overpayment and recovery. The requirements of the bill shall not be waived by contract. Any contract contrary to the bill shall be null and void. The commissioner of insurance may adopt rules pursuant to Code chapter 17A to administer the bill.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text
House subcommittee
Named February 17, 2025. On February 20, 2025 it recommended passage.
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
Iowa Code it changes
Creates§514C.3D
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
1 for · 0 against · 4 undecided · Who →
Family tree
Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.
Study bill
91st General Assembly
Earlier and later bills are matched by wording or an identical title; check the text to be sure it’s the same idea.