Introduced
by
To require Blue Cross Blue Shield to adopt alternative methods of processing claims that cannot be processed by their automated system; give advance notice of changes of claim processing policies; consult with affected organizations so as to clarify or eliminate practices or procedures that that are ambiguous or confusing with respect to coding and submission of claims; pay physicians and other providers an interest penalty for delays caused by violations; authorize state fines for violations; require public disclosure of medical review criteria and the criteria used to initiate an audit of a physicians practice; and eliminate the “evidence of need requirement” for freestanding surgery centers. See House Bill 5382.
Referred to the Committee on Insurance and Financial Services
