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S.F. No. 1113 - Third-Party Payments
 
Author: Senator Tony Lourey
 
Prepared By: Katie Cavanor, Senate Counsel (651/296-3801)
 
Date: March 5, 2015



 

Section 1 (62A.045) requires a health insurer to process a claim from a state agency for covered expenses paid under state medical programs within 90 business days.  Authorizes the state agency to grant the health insurer an additional 30 business days to process the claim if the request is submitted within 30 business days after the insurer received the claim. 

Also authorizes a health insurer to request a refund of a claim paid in error to DHS within two years of the date the payment was made.  States that a request for a refund received after this time period will not be honored.

Section 2 (256.015, subd. 7) requires an employer or third-party payer to provide DHS, within 60 days of a request, the following information as part of the data file:  name, date of birth, Social Security number, employer names, policy identification number, group identification number, and plan or coverage type.

 
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