LD 649
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Page 2 of 3 An Act to Allow the Use of the 1990 American Dental Association Form for Submis... LD 649 Title Page
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LR 1122
Item 1

 
insurance providing payment or reimbursement for diagnosis or
treatment of a condition or a complaint by a licensed dentist must
accept the 1990 American Dental Association claim form, or "1990
ADA Form."

 
Sec. 4. 24-A MRSA §4235, as enacted by PL 1993, c. 477, Pt. D, §12
and affected by Pt. F, §1, is repealed and the following enacted
in its place:

 
§4235.__Standardized claim forms

 
1.__Claim form approved by Federal Government. On or after
December 1, 1993, all health maintenance organizations providing
payment or reimbursement for diagnosis or treatment of a
condition or a complaint by a licensed physician or chiropractor
must accept the current standardized claim form approved by the
Federal Government.__On or after December 1, 1993, all health
maintenance organizations providing payment or reimbursement for
diagnosis or treatment of a condition or a complaint by a
licensed hospital must accept the current standardized claim form
approved by the Federal Government.

 
2.__Dental insurance claims.__Notwithstanding the requirements
of subsection 1, all health maintenance organizations and
nonprofit health care plans providing payment or reimbursement
for diagnosis or treatment of a condition or a complaint by a
licensed dentist must accept the 1990 American Dental Association
claim form, or "1990 ADA Form."

 
Emergency clause. In view of the emergency cited in the preamble,
this Act takes effect when approved.

 
SUMMARY

 
This bill requires nonprofit hospital, medical and health care
service organizations, insurers and health maintenance
organizations to accept the submission of the 1990 American
Dental Association standard claim form for dental insurance
claims.

 
This bill is an emergency and takes effect when enacted.


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