H0564B0579A02548 AJM:EJH 06/25/19 #90 A02548
AMENDMENTS TO HOUSE BILL NO. 564
Sponsor: REPRESENTATIVE PICKETT
Printer's No. 579
Amend Bill, page 1, lines 11 through 13, by striking out
"uniform health insurance claim" in line 11 and all of lines 12
and 13 and inserting
quality health care accountability and protection, further
providing for prompt payment of claims.
Amend Bill, page 1, line 16, by striking out "1202" and
inserting
2166(a)
Amend Bill, page 1, lines 19 through 21; pages 2 and 3, lines
1 through 30; page 4, lines 1 through 12; by striking out all of
said lines on said pages and inserting
Section 2166. Prompt Payment of Claims.--(a) A licensed
insurer or a managed care plan shall pay a clean claim submitted
by a participating or nonparticipating health care provider
within forty-five (45) days of receipt of the clean claim.
(b) If a licensed insurer or a managed care plan fails to
remit the payment as provided under subsection (a), interest at
ten per centum (10%) per annum shall be added to the amount owed
on the clean claim. Interest shall be calculated beginning the
day after the required payment date and ending on the date the
claim is paid. The licensed insurer or managed care plan shall
not be required to pay any interest calculated to be less than
two ($2) dollars.
(c) For purposes of this section, a claim shall be deemed to
be paid when a licensed insurer or managed care plan:
(1) mails a check to the participating or nonparticipating
provider; or
(2) makes an electronic transfer of funds to the
participating provider or nonparticipating provider.
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