Prohibits downcoding in health insurance claims.
Prohibits downcoding in health insurance claims.
Prohibits downcoding in health insurance claims.
Prohibits downcoding in health insurance claims.
Updates requirements and standards for authorization and prior authorization of health care services.
Health insurance; carrier business practices, method of payment for claims.
Health insurance; carrier business practices, method of payment for claims.
Requires third-party discounts and payments for individuals covered by health benefits plans to apply to copayments, coinsurance, deductibles, or other out-of-pocket costs for covered benefits.
Requires third-party discounts and payments for individuals covered by health benefits plans to apply to copayments, coinsurance, deductibles, or other out-of-pocket costs for covered benefits.
Requires carriers to offer health care providers more than one method of payment for reimbursement.