If enacted, providers would have to send patients a detailed insurance billing statement within 15 business days after filing a claim.
Providers would send patients a clear statement of services billed to insurance, including what the insurer paid or denied and any balance the patient may owe.
Health care providers would give patients, or their authorized representatives, a statement about services billed to insurance. The rule covers providers licensed or certified to provide health care and patients who receive their services; an authorized representative may receive the statement. The statement must list each service, its date and billing codes, the amount billed, the amount paid or denied, and any balance the patient may owe. Providers may use a secure patient portal, email with the patient's consent, or paper upon request. The statement must be clear and understandable. Providers would have to send the statement within 15 business days after submitting the claim. The act would take effect 60 days after passage.
No hearings or votes scheduled.