HB 5218 (see companion bills HB 5347, SB 217) – Rhode Island

Status: Inactive / Dead
Year Introduced: 2019
Link: http://webserver.rilin.state.ri.us/BillText/BillText19/HouseText19/H5218.pdf

Substitutes the office of health insurance commissioner for the director of business regulation as the overseer of health insurance claims and sets forth guidelines to use to determine whether substantial compliance has been met. A health care entity or health plan operating in the state shall pay all complete claims for covered health care services submitted to the health care entity or health plan by a health care provider or by a policyholder within forty (40) calendar days following the date of receipt of a complete written claim or within thirty (30) calendar days following the date of receipt of a complete electronic claim. Each health plan shall establish a written standard defining what constitutes a complete claim and shall distribute this standard to all participating providers.


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