Bill Text: PA HB1471 | 2011-2012 | Regular Session | Introduced


Bill Title: Further providing for prompt payment to health care providers of clean claims.

Spectrum: Slight Partisan Bill (Republican 39-14)

Status: (Introduced - Dead) 2011-05-05 - Referred to INSURANCE [HB1471 Detail]

Download: Pennsylvania-2011-HB1471-Introduced.html

  

 

    

PRINTER'S NO.  1778

  

THE GENERAL ASSEMBLY OF PENNSYLVANIA

  

HOUSE BILL

 

No.

1471

Session of

2011

  

  

INTRODUCED BY DENLINGER, BOYD, WATSON, BOBACK, BUXTON, CALTAGIRONE, CAUSER, CLYMER, CONKLIN, D. COSTA, DAVIDSON, DAVIS, EVERETT, FLECK, GEIST, GILLEN, GINGRICH, GOODMAN, GROVE, HESS, HICKERNELL, HORNAMAN, HUTCHINSON, KAUFFMAN, KAVULICH, M. K. KELLER, KNOWLES, KULA, LONGIETTI, MAJOR, MARSHALL, MASSER, MILLER, MILNE, MOUL, MURT, OBERLANDER, O'NEILL, PAYNE, QUINN, RAPP, READSHAW, REICHLEY, ROAE, ROCK, SCAVELLO, SCHRODER, STABACK, TALLMAN, TAYLOR, VULAKOVICH AND WAGNER, MAY 5, 2011

  

  

REFERRED TO COMMITTEE ON INSURANCE, MAY 5, 2011  

  

  

  

AN ACT

  

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Amending the act of May 17, 1921 (P.L.682, No.284), entitled "An

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act relating to insurance; amending, revising, and

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consolidating the law providing for the incorporation of

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insurance companies, and the regulation, supervision, and

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protection of home and foreign insurance companies, Lloyds

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associations, reciprocal and inter-insurance exchanges, and

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fire insurance rating bureaus, and the regulation and

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supervision of insurance carried by such companies,

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associations, and exchanges, including insurance carried by

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the State Workmen's Insurance Fund; providing penalties; and

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repealing existing laws," further providing for prompt

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payment to health care providers of clean claims.

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The General Assembly of the Commonwealth of Pennsylvania

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hereby enacts as follows:

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Section 1.  Section 2166(a) of the act of May 17, 1921

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(P.L.682, No.284), known as The Insurance Company Law of 1921,

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added June 17, 1998 (P.L.464, No.68), is amended to read:

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Section 2166.  Prompt Payment of Claims.--(a)  A licensed

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insurer or a managed care plan shall pay a clean claim submitted

 


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by a health care provider within forty-five (45) days of receipt

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of the clean claim[.] and where the clean claim involves

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services provided by a licensed ambulance service and is paid in

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the form of a negotiable instrument, the negotiable instrument

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shall be made payable solely to the licensed ambulance service

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for such services and notice of the payment shall be provided by

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the licensed insurer or managed care plan to the insured or

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subscriber.

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* * *

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Section 2.  This act shall take effect in 60 days.

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