Creates provisions relating to notice requirements for health carriers
Impact
The bill's implementation is expected to enhance transparency and operational efficiency in the healthcare sector. By standardizing the notification process, the bill will minimize potential disruptions in payments and claims submissions that can occur due to unannounced changes by health carriers. Additionally, it provides a framework for penalties that health carriers may face if they fail to comply with the notification requirements, including the expedited payment of claims submitted during the noncompliance period and a daily interest penalty on overdue claims.
Summary
House Bill 2867 introduces new provisions concerning notification requirements for health carriers in Missouri. Specifically, it amends Chapter 376 of the Revised Statutes of Missouri by adding Section 376.378. This section mandates health carriers to notify participating healthcare providers of any changes to their business information, such as address or insurance payer identification number, at least ninety days prior to the changes taking effect. This requirement aims to ensure smooth communication and operation between health carriers and healthcare providers.
Conclusion
Overall, HB 2867 represents an effort to enhance accountability among health carriers concerning their interactions with participating providers. By ensuring timely notifications and establishing penalties for noncompliance, the bill aims to fortify the financial and operational relationship between healthcare providers and health carriers within Missouri.
Contention
During discussions surrounding HB 2867, there may be concerns from various stakeholders, including healthcare providers who could argue that existing compliance issues need addressing without imposing additional burdens. There could be tension between the need for stringent regulation of health carriers and the operational flexibility desired by these entities. While this bill strengthens the rights of healthcare providers, it also imposes penalties that health carriers may oppose, viewing them as excessive or burdensome.