- Title
- Health Insurance - Third-Party Administrators - Verification of Eligibility
- Sponsored by
- Delegate Guzzone
- Status
- In the House - Hearing 3/12 at 1:00 p.m.
- Analysis
Synopsis
Requiring third-party administrators of plans that provide health benefits to develop a process through which a health care provider can request information to determine the eligibility of an enrollee and the administrator can respond to a request in a timely manner; and prohibiting certain carriers from retroactively denying reimbursement to a provider who used a certain process to confirm an enrollee was eligible for certain services.
Committees
- Original:
- Health
Details
Bill File Type: Regular
Effective Date(s): October 1, 2026
History
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File Code
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Subjects
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Statutes
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(
15-1008,
8-310.1 )
Last Updated: 2/13/2026 9:54 PM
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