An Act amending Title 40 (Insurance) of the Pennsylvania Consolidated Statutes, in electronic notice of insurance practices, providing for dental insurance transparency.

This bill requires dental insurance companies in Pennsylvania to create secure online portals that give dental providers and their staff daily access to detailed patient benefit information, including claims history and denial reasons. The legislation mandates that any verbal or written statements made by insurers regarding benefits or costs must be binding on future claims, with specific exceptions for fraud or eligibility changes. To enforce these rules, the bill allows providers to sue for the original billed amount if insurers fail to pay within 30 days and imposes administrative fines of up to $10,000 for non-compliance. The changes are designed to increase transparency and reduce billing disputes, and they will take effect one year after the bill is enacted.