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April 22, 2002 at 08:00 PM
NU Online News Service, April 22, 6:44 p.m. – Mississippi Gov. Ronnie Musgrove, a Democrat, has signed H.B. 683, a bill that toughens Mississippi’s “prompt payment” requirements for health insurers and other state-regulated suppliers of health coverage.
The bill requires each health policy delivered or issued in the state to include a new provision for payment of claims.
The new provision requires health insurers to pay “clean” electronic claims within 25 days, and clean paper claims within 35 days. The old limit was 45 days.
“A claim is clean if it has no defect or impropriety,” according to a definition given in the bill text.
Insurers can still postpone paying duplicate claims; claims based on fraud or misrepresentation; claims that require an investigation for information about preexisting conditions, coordination of benefits, or subrogation rights; claims that are submitted late; and claims that require more substantiation.
