SB 401 - This act prohibits health carriers, including the operators of prepaid dental plans, from modifying medical codes on reimbursement claims in a way that results in a lower reimbursement amount. If additional information is required to process the claim as submitted, the statute regarding prompt payment of health insurance claims, or the statute regarding payment for emergency services, shall apply, as applicable. The act prohibits the carriers from stating or implying to patients that a claim for reimbursement was inappropriate or excessive, except as provided in the act.
This act is similar to HB 1357 (2021).
ERIC VANDER WEERD