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Relating to conduct of insurers providing preferred provider benefit plans with respect to physician and health care provider contracts and claims.
No significant fiscal implication to the State is anticipated.
HB 2929 would expand the statutory definition of retaliatory actions by an insurer against a preferred healthcare provider.
The bill would also prohibit an insurer from recovering a payment on an audited claim until a final audit is completed. An insurer would be required to inform a provider not later than the 15th day after the date on which the insurer is required to complete the audit, if the insurer has not completed the audit. An insurer would also be required to provide a reasonable mechanism for audit appeal.