LC 3197 Legislature · 2025 Regular Session

Generally revise laws related to payments made by health carriers

This bill establishes new rules requiring health insurance companies in Montana to pay medical claims more quickly and fairly. It mandates that insurers must pay clean claims - those without errors or missing information - within 14 days for electronic submissions or 30 days for paper claims. The legislation also requires insurers to notify providers of any claim deficiencies within specific timeframes and prohibits unnecessary delays in processing claims due to mistakes. Health care providers, facilities, and suppliers are the primary beneficiaries, while health insurance carriers face potential penalties and enforcement actions from state regulators if they fail to comply with these payment timelines.
Bill status introduced 1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 14, 2024 Last action Feb 23, 2025
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