Bill to require insurers to report claims-payment timeliness gains support from hospitals and regulators

Senate Health and Long Term Care Committee members received a briefing and testimony Feb. 20 on Senate Bill 5,683, a proposed substitute that would require carriers to report annual data on claims-payment timeliness, clean-claim rates, and the time to resolve claims that require additional information. The Office of the Insurance Commissioner (OIC) and the Health Care Authority (HCA) would compile the data and publish annual reports that summarize complaints and trends.

Staff explained current payment timeliness standards and what the bill would add. Under existing rules, carriers must meet minimum timeframes (for example, 95% of monthly clean claims paid within 30 days, and 95% of all claims paid or denied within 60 days) and must notify providers of denials with reasons. SB 5,683…