H1219 - Dental Insurance Claims

2 Co-Sponsors

Prohibits contract between health insurer, prepaid limited health service organization, & HMO & dentist from containing certain restrictions on payment methods to dentists; requires health insurer, prepaid limited health service organization, & HMO to notify dentist before paying claim to dentist through electronic funds transfer; prohibits health insurer, prepaid limited health service organization, & HMO from charging fee to transmit payment to dentist through automated clearinghouse transfer unless dentist has consented to such fee; prohibits health insurer, prepaid limited health service organization, & HMO from denying claims for procedures included in prior authorization.