| || |
DIGEST OF INTRODUCED BILL
Insurance matters. Provides that an insurer that has adjusted a claim because of overpayment by the insurer is prohibited from submitting payment of the claim more than one year after the filing of the original claim. Requires an insurer or a health maintenance organization (HMO), upon request, to make available to a provider the insurer's or HMO's reimbursement fee schedule. Requires the department of insurance to prescribe a credentialing form. Requires an insurer or an HMO to: (1) notify a provider about deficiencies in the provider's credentialing application; and (2) update the provider on the status of the credentialing application.