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Insurance committee backs broad insurance package after heated debate over claim-recoupment window
Summary
The committee advanced a broad insurance amendment package (HB 12-60) that includes fraud-reporting changes, all-claims database fees, network data access and a contentious reduction in recoupment/audit timelines for fully insured plans from two years to 180 days; the amendment passed the committee 11–1 with insurers urging a one-year compromise for fraud detection.
The House Insurance Committee on Thursday approved an amended insurance package, House Bill 12-60, after extensive debate over a provision that shortens the time insurers may pursue recoupments and audits for fully insured commercial claims.
Representative Lehman introduced the broad amendment that also covers fraud-reporting pathways, an all-claims database fee structure, farm mutual acquisition appeal timelines, guarantee-fund compliance and network-provider list access for insurance producers. Several…
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