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2002 SESSION

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HB 622 Insurance; "clean" claim prescription drug benefits.

Introduced by: Harvey B. Morgan | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

Insurance; fair carrier business practices. Requires carriers to pay, within 10 days of receipt, any "clean" claim pertaining to prescription drug benefits that is submitted electronically by a pharmacist and that includes all information and documentation that are customarily required by the carrier to process and pay claims of the type submitted. Currently, carriers are required to pay claims within 40 days of receipt of the claim. If such a claim is submitted electronically by a pharmacist, the carrier shall, within five days after receipt of such material, request any additional information and documentation that the carrier reasonably requires to process and pay the claim or to determine if the claim is a clean claim. Currently, a carrier's post-submission requests for such information and documentation must be made within 30 days after receipt of the claim.


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