HLS 16RS-1121 ENGROSSED
2016 Regular Session
HOUSE BILL NO. 490
BY REPRESENTATIVE LEBAS
INSURANCE/HEALTH: Provides for the submission of a remittance advice by health
insurers to pharmacists
1 AN ACT
2To amend and reenact R.S. 22:1856(C)(introductory paragraph) and (14) and to enact R.S.
3 22:1856(C)(15), relative to pharmacy claims to health insurance issuers; to provide
4 for an authorized time period for a health insurer to send a remittance advice; to
5 require certain information on the remittance advice; and to provide for related
6 matters.
7Be it enacted by the Legislature of Louisiana:
8 Section 1. R.S. 22:1856(C)(introductory paragraph) and (14) are hereby amended
9and reenacted and R.S. 22:1856(C)(15) is hereby enacted to read as follows:
10 ยง1856. Thirty-day payment Payment standard; limitations on claim filing and
11 audits; remittance advice
12 * * *
13 C. Each remittance advice generated by a health insurance issuer or its agent
14 to a pharmacist or his agent or pharmacy or its agent shall be postmarked within
15 seven business days sent on the date of payment and shall include the following
16 information, clearly identified and totaled for each claim listed:
17 * * *
18 (14) Network identifier.
19 (15) A toll-free telephone number for assistance with the remittance advice.
20 * * *
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 16RS-1121 ENGROSSED
HB NO. 490
1 Section 2. This Act shall become effective on January 1, 2017.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 490 Engrossed 2016 Regular Session LeBas
Abstract: Requires a health insurer to send a remittance advice on the date of payment.
Present law requires a health insurer to send a remittance advice to a pharmacy within seven
business days of payment.
Proposed law requires the health insurer to send the remittance advice on the date of
payment.
Present law requires the remittance advice to include certain information, clearly identified
and totaled for each claim listed.
Proposed law retains present law and adds the requirement that the remittance advice include
the network identifier.
Effective January 1, 2017.
(Amends R.S. 22:1856(C)(intro. para.) and (14); Adds R.S. 22:1856(C)(15))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the
original bill:
1. Add effective date of January 1, 2017.
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.