Health care provider reimbursement time period for adjustment or recoupment time period limitation provision and health plan companies and third-party administrators adjusting or recouping payment related to coordination of benefits providing a written statement requirement provision

This bill limits health insurers and third-party administrators to a six-month window to adjust or recoup payments to healthcare providers after a claim is paid, except for fraud, duplicate claims, or coordination of benefits cases (which get a 12-month limit). It requires insurers to provide healthcare providers with a written statement detailing the reason for any adjustment related to coordination of benefits, including the responsible entity's name and address. Providers affected by such adjustments gain 180 days to dispute the recoupment. The law directly impacts health plan companies, third-party administrators, and healthcare providers handling insurance claims in Minnesota.