D.C. Code § 31-3133. Retroactive denial of reimbursement: Health Benefits Plans Prompt Payment – District of Columbia

Status: Enacted
Year Enacted: 2002
File: Download

A health insurer may only retroactively deny reimbursement to a health care provider:
(1) For services subject to coordination of benefits with another health insurer during the 18-month period after the date that the health insurer paid the health care provider; or
(2) Except as provided in paragraph (1) of this subsection, during the 6-month period after the date that the health insurer paid the health care provider.


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