Prohibits healthcare providers and health plans from denying the payment of a medical bill, solely because the bill may have arisen from a third-party claim.
Impact
Should S0846 be enacted, it is likely to have significant implications on state laws regarding healthcare practices and insurance claims processing. The bill requires that healthcare entities inform providers and policyholders of any denial or pending status of claims within thirty days, while mandating that they pay interest on late reimbursements. This emphasis on timely communication and payment could reform the current landscape of healthcare financing, compelling insurance companies to adhere to stricter deadlines and protocol. As a result, healthcare providers may experience improved cash flow, thereby enabling them to devote more resources to patient care.
Summary
S0846 is a legislative proposal aimed at reforming the healthcare claim payment process. The main provision of this bill prohibits healthcare entities and health plans from denying a claim based solely on the reason that the medical bill may have arisen from a third-party claim or incident, with the notable exception being workers' compensation claims. This measure seeks to protect healthcare providers and policyholders from unjust denials that may compromise their financial stability and access to necessary medical care. By ensuring that medical bills originating from third-party incidents are honored, the bill aims to streamline processes and increase accountability within healthcare billing practices.
Contention
The passage of S0846 may face opposition from insurance companies and entities that contend it could lead to increased costs due to mandatory payments on claims they would otherwise dispute. Critics may argue this legislation could restrict their ability to challenge claims that they believe are unjustified or fraudulent. Moreover, concerns may arise regarding the definitions of 'third-party claims' and the potential for abuse of the system by claimants seeking undeserved reimbursement. Consequently, careful monitoring and regulation would be needed to balance the interests of both providers and insurers while ensuring consumer rights are upheld.
Prohibits a health insurer from denying a claim for any medical bill based on sole reasoning that the bill may arise from a motor vehicle accident or other third-party claim and prohibits a medical provider from refusing to submit medical for same reason.
Prohibits a health insurer from denying a claim for any medical bill based on sole reasoning that the bill may arise from a motor vehicle accident or other third-party claim and prohibits a medical provider from refusing to submit medical for same reason.
Creates a protective legal shield for healthcare providers, precluding any civil/criminal action by other states/persons against healthcare providers involving persons seeking access to transgender and reproductive healthcare services provided in RI.
Creates a protective legal shield for healthcare providers, precluding any civil/criminal action by other states/persons against healthcare providers involving persons seeking access to transgender and reproductive healthcare services provided in RI.
Establishes the right of a medical practitioner, healthcare institution, or healthcare payer not to participate in or pay for any medical procedure or service this violates their conscience.
Expands the rights of physician assistants with regard to their practice and prohibits non-compete clauses that exceed five years with regard to the purchase and sale of a practice.
Expands the rights of physician assistants with regard to their practice and prohibits non-compete clauses that exceed five years with regard to the purchase and sale of a practice.
Prohibits contractors and subcontractors from paying employees the cash equivalent of any applicable healthcare benefit in lieu of actually purchasing the healthcare benefit unless the employee is covered under a different healthcare plan.
Prohibits healthcare providers and health plans from denying the payment of a medical bill, solely because the bill may have arisen from a third-party claim.
Prohibits a health insurer from denying a claim for any medical bill based on sole reasoning that the bill may arise from a motor vehicle accident or other third-party claim and prohibits a medical provider from refusing to submit medical for same reason.
Prohibits a health insurer from denying a claim for any medical bill based on sole reasoning that the bill may arise from a motor vehicle accident or other third-party claim and prohibits a medical provider from refusing to submit medical for same reason.
Prohibits certain claim practices of health insurers and medical providers. The act would further require fulfillment of medical record requests within fourteen (14) days.
Prohibits certain claim practices of health insurers and medical providers. The act would further require fulfillment of medical record requests within fourteen (14) days.