|
REFERENCE TITLE: health insurance; surprise billing; disputes |
|
State of Arizona Senate Fifty-seventh Legislature First Regular Session 2025
|
|
SB 1626 |
|
|
|
Introduced by Senators Werner: Angius, Carroll, Gowan, Shamp, Shope
|
An Act
amending section 20-3117, Arizona Revised Statutes; relating to the timely payment of claims.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it enacted by the Legislature of the State of Arizona:
Section 1. Section 20-3117, Arizona Revised Statutes, is amended to read:
20-3117. Dispute resolution; notice of rights
A. The department in conjunction with the appropriate health care boards shall prescribe the notice outlining an enrollee's rights to dispute surprise out-of-network bills under this article.
B. Health insurers shall include the notice prescribed pursuant to subsection A of this section in each explanation of benefits or other similar claim adjudication notice that is issued to enrollees and that involves covered services provided by a noncontracted health care provider. This subsection applies only to claims that are not subject to an independent dispute resolution pursuant to the no surprises act (P.L. 116-120; 134 stat. 2758; 42 united states code section 201).
C. If an enrollee contacts a health care provider, a provider's representative or a billing company regarding a dispute involving a surprise out-of-network bill that is not subject to an independent dispute resolution pursuant to the no surprises act (P.L. 116-120; 134 stat. 2758; 42 united states code section 201), the health care provider, the provider's representative or the billing company shall provide written notice as prescribed in subsection A of this section to the enrollee of the dispute resolution process.
D. The department shall post on its website information for health care consumers regarding what constitutes a surprise out-of-network bill, how to try to avoid a surprise out-of-network bill and how the dispute resolution process may be used to resolve a surprise out-of-network bill.