An Act relative to uncollected co-pays, co-insurance and deductibles

This bill requires health insurance carriers in Massachusetts to reimburse healthcare providers for 65% of uncollected patient co-pays, co-insurance, and deductibles. To qualify for this reimbursement, providers must make reasonable collection efforts, such as phone calls and letters, and submit annual requests for claims where the unpaid amount is at least $250 per service. The legislation defines these financial responsibilities clearly and mandates that insurers complete audits and payments within 120 days of receiving a valid request. Ultimately, the law shifts a portion of the financial burden for unpaid patient costs from providers to insurance companies.