HB 1475 – Florida

Status: In Process
Year Introduced: 2024
Link: https://www.myfloridahouse.gov/Sections/Bills/billsdetail.aspx?BillId=80262&SessionId=103

Provides requirements related to utilization review entities authorization process for accepting electronic prior authorization; provides requirements related to payment adjudicators; authorizes OIR to investigate & take appropriate actions; authorizes provider to bring private cause of action; revises requirements of insurer contracts; revises requirements for health insurers submitting claims electronically & nonelectronically; removes prohibition against waiving, voiding, or nullifying certain provisions by contract; prohibits health insurer from retrospectively denying claim; revises procedures for investigation of claims of improper billing; prohibits insurer from requiring information from provider before provision of emergency services & care.

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