LD 1527
pg. 2
Page 1 of 2 An Act to Provide Equity in Reimbursement for Health Care Providers LD 1527 Title Page
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LR 2272
Item 1

 
B.__Health care services within the scope of the controverted
claim provided to the insured by a health care provider after
receipt of the notice described in subsection 3.

 
SUMMARY

 
This bill requires an insurer to pay health care providers for
health care services within 30 days of submission of a claim.
The bill permits one exception to this 30-day payment
requirement: When the insurer provides written notice that a
claim is controverted, the health care provider need not be paid
within 30 days for health care services within the scope of the
controverted claim provided after receipt of the notice. The
bill also requires that an insurer pay for these additional
health care services and any legal expenses incurred by the
insured in pursuit of payment of the controverted claim, when it
is determined that the insurer is obligated to pay the
controverted claim.


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