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Panel debates time limits for medical provider disputes in workers' compensation billing
Summary
Senate Bill 67 would set a deadline for medical providers to dispute workers' compensation bill payments; proponents said a limit would reduce years-long reopened claims, while providers and some hospitals urged a much longer window or alternatives such as mediation to avoid increasing hearings.
Senate Bill 67 would impose a deadline for medical providers to dispute payment amounts they receive from insurance carriers or self-insured groups for services rendered under workers' compensation. The bill, as introduced, set two 45-day windows (90 days total) after payment for provider notification and negotiation; testimony referenced an original 90-day draft and an amendment that would use 45 days per window.
Peter O'Neil, communications director to a senate sponsor, described the proposal as a narrow change intended to prevent medical providers from filing disputes years after a claim is closed. He told the committee: "All senate bill 67 does is introduce a reasonable time limit, which is outlined as 90…
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