Health Insurance - Third-Party Administrators - Verification of Eligibility
Sponsor: Pam Lanman Guzzone (District 13)Committee: HealthSubject: Health - InsuranceStatus: Unfavorable Report by Health; Withdrawn (as of Sep 4, 2026)
What this bill does
Official 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.
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Testimony (0)
MGA witness listNo witness list on file because no hearing has been scheduled.