| 16 | | - | submitted to psychologists; amending ss. 627.6131 and 3 |
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| 17 | | - | 641.3155, F.S.; requiring insurance overpayment claims 4 |
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| 18 | | - | submitted to psychologists to be submitted within a 5 |
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| 19 | | - | specified timeframe; providing applicability; 6 |
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| 20 | | - | providing an effective date. 7 |
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| 16 | + | submitted to psychologists; amending s. 627.6131, 3 |
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| 17 | + | F.S.; requiring insurance overpayment claims submitted 4 |
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| 18 | + | to psychologists to be submitted within a specified 5 |
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| 19 | + | timeframe; providing applicability; providing an 6 |
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| 20 | + | effective date. 7 |
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| 21 | 21 | | 8 |
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| 22 | 22 | | Be It Enacted by the Legislature of the State of Florida: 9 |
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| 23 | 23 | | 10 |
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| 24 | 24 | | Section 1. Subsection (18) of section 627.6131, Florida 11 |
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| 25 | 25 | | Statutes, is amended to read: 12 |
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| 26 | 26 | | 627.6131 Payment of claims. — 13 |
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| 27 | 27 | | (18) Notwithstanding the 30 -month period provided in 14 |
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| 28 | 28 | | subsection (6), all claims for overpayment submitted to a 15 |
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| 29 | 29 | | provider licensed under chapter 458, chapter 459, chapter 460, 16 |
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| 30 | 30 | | chapter 461, or chapter 466, or chapter 490 must be submitted to 17 |
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| 31 | 31 | | the provider within 12 months after the health insurer's payment 18 |
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| 32 | 32 | | of the claim. A claim for overpayment may not be permitted 19 |
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| 33 | 33 | | beyond 12 months after the health insurer's payment of a claim, 20 |
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| 34 | 34 | | except that claims for overpayment ma y be sought beyond that 21 |
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| 35 | 35 | | time from providers convicted of fraud pursuant to s. 817.234. 22 |
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| 51 | | - | (16) Notwithstanding the 30 -month period provided in 26 |
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| 52 | | - | subsection (5), all claims for overpayment submitted to a 27 |
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| 53 | | - | provider licensed under chapter 458, chapter 459, chapter 460, 28 |
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| 54 | | - | chapter 461, or chapter 466, or chapter 490 must be submitted to 29 |
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| 55 | | - | the provider within 12 months after the health maintenance 30 |
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| 56 | | - | organization's payment of the claim. A claim for overpayment may 31 |
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| 57 | | - | not be permitted beyond 12 months after the health maintenance 32 |
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| 58 | | - | organization's payment of a claim, except that claims for 33 |
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| 59 | | - | overpayment may be sought beyond that time from providers 34 |
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| 60 | | - | convicted of fraud pursuant to s. 817.234. 35 |
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| 61 | | - | Section 3. The amendments made by this act to ss. 36 |
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| 62 | | - | 627.6131(18) and 641.3155(16), Florida Statutes, apply to claims 37 |
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| 63 | | - | for services provided on or after January 1, 2026. 38 |
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| 64 | | - | Section 4. This act shall take effect July 1, 2025. 39 |
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| 51 | + | Section 3. This act shall take effect July 1, 2025. 26 |
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