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Senate File 159 stalls after heated debate over downcoding and bundling rules for dental claims
Summary
Senate File 159, which would limit insurer downcoding and restrict bundling practices in dental claims, drew extended testimony from dentists, insurers and state officials and was left on the table for further work.
Senate File 159, which would limit insurer downcoding of dental claims and narrow bundling practices, drew extensive testimony from dentists, carriers and state officials and was not advanced at Tuesday’s Labor, Health & Social Services Committee meeting.
Sponsor Sen. Cindy Jones told the committee the bill would add statutory definitions of downcoding and bundling, require more-detailed explanation-of-benefits (EOB) language when claims are adjusted, and permit dentists to collect fees when patients sign informed, written consent. Jones said the bill’s purpose is to ensure transparency for patients and to preserve the dentist–patient relationship.
Dentists and dental-association representatives…
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