HEALTH CARE: Provides for payments to healthcare providers. (8/1/26) (EN NO IMPACT See Note)

The deadline for processing electronic claims was reduced from 30 days to 25 days.

The bill now explicitly includes provisions for payments to pharmacies.

References to dental service contractors and specific dental recoupment rules were removed from the bill.

The bill was renumbered and the list of statutes to be amended was updated to reflect the removal of dental sections and the addition of pharmacy-related sections.

The deadline for insurers to process standard nonelectronic claims was reduced from 45 days to 30 days.

The deadline for insurers to process nonelectronic claims requiring prior authorization was reduced from 60 days to 15 days.

The deadline for insurers to process electronic claims requiring prior authorization was reduced from 25 days to 15 days.

A new provision prevents dental service contractors from retroactively denying or seeking refunds for claims paid in good faith within 18 months, even if the patient loses coverage later.

Insurers must now provide written notice or internet access to claim status within two business days of pending a claim.

Added a new statute (R.S. 22:1155) specifically governing dental service claims, which was not present in the previous version.

Established an 18-month limit for dental contractors to deny or recoup claims after the initial payment, preventing indefinite delays.

Updated the list of statutes being amended to include the new dental provisions and R.S. 22:1155.

Updated the document title and page headers from 'ENGROSSED' to 'REENGROSSED' to reflect the bill's new legislative status.