HB 4443 Illinois House · 100th Regular Session

INS CD-MANAGED CARE PLAN CLAIM

Summary
Amends the Illinois Insurance Code. Provides that all managed care plans shall ensure that all claims and indemnities concerning health care services shall be paid within 30 days after receipt of a claim that has provided specified information on a CMS-1500 Health Insurance Claim Form or a UB-04 (CMS-1450) form. Provides that certain health care providers shall be notified of any known failure of the claim and provide detailed information on how the claim may be satisfied to receive payment within 30 days after receipt. Provides that any undisputed portions of a claim must be reimbursed by the managed care plan within 30 days after receipt. Grants the Department of Insurance specific authority to issue a cease and desist order, fine, or otherwise penalize managed care plans that violate provisions concerning timely payment for health care services. Provides that a policy issued or delivered to the Department of Healthcare and Family Services that provides coverage to certain persons is subject to the provisions concerning timely payment for health care services. Makes conforming changes in the Illinois Public Aid Code.
Bill status failed 1 of 4 stages cleared
Introduction
Jan 2018
Committee Review
Floor Vote
Governor
Introduced Jan 31, 2018 Last action Jan 8, 2019
Floor votes

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Full legislative history

Actions timeline

Total actions
6
Key actions
0
Committee
3
Apr 13, 2018
Committee
Rule 19(a) / Re-referred to Rules Committee
lower
Feb 12, 2018
Committee
Assigned to Appropriations-Human Services Committee
lower
Jan 31, 2018
Committee
Referred to Rules Committee
lower
0 primary · 1 co-sponsor

Sponsors

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