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.
By amending existing laws, H7143 aims to streamline the claims processing and prompt payment requirements. Health plans are mandated to notify providers or policyholders within thirty days of any claims denied or pending. Additionally, healthcare entities are required to fulfill medical records requests within fourteen days. This law is positioned to enhance efficiency in the insurance claim process, providing more significant financial protection and encouraging coverage accessibility for patients, thereby promoting overall health equity.
House Bill H7143 aims to enhance the processing of insurance claims related to medical bills by establishing new regulations for health insurers and healthcare providers. Notably, the bill prohibits insurers from denying a claim solely on the basis that the medical expenses may arise from a motor vehicle accident or other third-party claims. This addresses a significant gap in patient protections, ensuring that individuals are not penalized for seeking necessary medical treatment that may intersect with potentially contentious legal cases.
While proponents argue that H7143 represents a necessary advance in the protection of patient rights and administrative efficiency, there may be contention regarding its potential impacts on insurance companies' operations. Critics could raise concerns that the law might increase costs for insurers, which could eventually trickle down to policyholders in the form of higher premiums. The balance between protecting patient rights and ensuring the financial viability of health insurers is likely to be a point of discussion as the bill moves forward.