2012 House Bill 5909

Authorize certain retrospective denials of health plan reimbursement

Introduced in the House

Sept. 13, 2012

Introduced by Rep. Mike Shirkey (R-65)

To allow “health plans” (contracts with provisions similar to HMOs) to retroactively deny a claim for reimbursement from a health care services provider within 12 months and seek repayment if the claim is found to be fraudulent, or a duplicate payment was made, or the claim properly should have been paid by another health plan.

Referred to the Committee on Insurance