A bill for an act relating to prior authorization for dental care services, notice to dental care providers that a dental care service plan is state-regulated, and the recovery of overpayments by a dental carrier.

HF 874 requires dental insurance companies (dental carriers) to honor prior authorizations for covered dental services, meaning they must reimburse providers at the agreed rate if services were pre-approved. It mandates that dental carriers notify providers when a patient’s plan is state-regulated (via online portal and ID cards starting July 2025). The bill also sets strict rules for recovering overpayments: carriers must provide written notice of errors within 365 days and allow providers a 90-day appeal period. These provisions directly affect dental providers, insurance companies, and patients covered under state-regulated dental plans.