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 on individual claims of at least $250 and submit an annual report by May 1 detailing their attempts to collect these amounts. Insurance companies must complete audits of these requests within 120 days and pay undisputed amounts within the same timeframe, while disputes are handled through existing provider agreements. The law aims to reduce bad debt for healthcare providers by sharing the financial burden of uncollected patient obligations between the insurer and the provider.