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2004 SESSION
HB 266 Prescription claims; electronic funds transfers to pay benefit provider.
Introduced by: Harvey B. Morgan | all patrons ... notes | add to my profiles
SUMMARY AS INTRODUCED:
Health insurance; prescription drug coverage; payments to providers. Requires each insurer, corporation, or health maintenance organization whose insurance policy, contract, or plan includes outpatient prescription drug coverage to pay a prescription benefit provider by electronic funds transfer or automated clearinghouse transfer within 30 days of receipt of a claims transmission from the prescription benefit provider. The payment by the insurer, corporation, or health maintenance organization shall be made to an account designated by the prescription benefit provider or its authorized representative. Prior to payment, the insurer, corporation, or health maintenance organization shall provide documentation to the prescription benefit provider of the claims payment information identifying the individual claims that are included in the payment. The claims payment information shall be in a format mutually agreed to by the insurer, corporation, or health maintenance organization and the prescription benefit provider, and shall comply with the Health Insurance Portability and Accountability Act of 1996.
FULL TEXT
HISTORY
- 01/14/04 House: Presented & ordered printed, prefiled 01/08/04 046678428
- 01/14/04 House: Referred to Committee on Commerce and Labor
- 01/27/04 House: Continued to 2005 in Commerce and Labor (22-Y 0-N)