Prompt Pay Law Info by State - …

1 Updated June 2015 Prompt Pay Law info by State National Association of Insurance Commissioners Interactive Map of State by State Insurance Commissions State Status/Terms of Law State Contact Website Address Alabama Clean claims paid within 45 working days. Alabama Department of Insurance 201 Monroe Street, Suite 502 Montgomery, Alabama 36104 Phone: Fax: Code of Ala. 27-1-17 Code of Ala. 27-21A-23 Alaska Clean claims must be paid within 30 working days. Interest rate penalty of 15% Department of Commerce, Community & Economic Development Division of Insurance 550 West 7th Avenue, Suite 1560 Anchorage, Alaska 99501-3567 Main 907-269-7900 Fax 907-269-7910 Alaska Stat. Arizona Clean claims must be paid within 30 days or interest payments are required (usually about 10%) Arizona Department of Insurance 2910 North 44th Street, Suite 210 Phoenix, Arizona 85018-7256 Phone: Fax: ARS 20-3102 ARS 20-462 Arkansas Clean, electronic claims must be paid or denied in 30 calendar days, paper in 45.

2 12% per annum interest after 60 days. Arkansas Insurance Department 1200 West 3rd Street Little Rock, Arkansas 72201-1904 Phone: Fax: (501) ACA 20-66-215;054 00 CARR 043 12-13 California Claims must be paid within 45 working days for an HMO, 30 days for other health service plans. Interest accrues at 15% per annum or $15 penalty, whichever is greater. California Department of Insurance 300 Capitol Mall, Suite 1700 Sacramento, California 95814 Phone: Fax: Cal. Ins. Code Cal. Health & Saf Code 28 CCR Updated June 2015 State Status/Terms of Law State Contact Website Address bulletins/bulletin-notices-commiss-opini on/ Colorado Claims must be paid in 30 calendar days if submitted electronically, 45 if paper.

3 10% annual interest penalty. Department of Regulatory Agencies Division of Insurance 1560 Broadway, Suite 850 Denver, Colorado 80202 Phone: Fax CRS Connecticut Claims must be paid within 45 days. Interest accrues at 15% per annum. Connecticut Insurance Department PO Box 816 Hartford, Connecticut 06142-0816 Phone: Fax: Mary Ellen Breault (860) 297-3901 Conn. Gen. Stat. 38a-477 Conn. Gen. Stat. 38a-815 Delaware Clean claims must be paid in 30 days. Delaware Department of Insurance 841 Silver Lake Boulevard Dover, Delaware 19904 Phone: Fax: Lakia Turner (302) CDR 18-1300-1310 Del. C. 2322F Dist. of Columbia Clean claims will be paid in 30 days. Interest payable at days 31-60, 2% days 61-120, and after 120 days.

4 Government of the District of Columbia Dept. of Insurance, Securities, and Banking 810 First Street, N. E., Suite 701 Washington, DC 20002 Phone: Fax: DC Code 31-3132 Florida Clean HMO claims (paper or electronic) must be paid in 35 days, non-HMO in 45 days. Claims where information was requested must be paid in 120. Interest penalty is 10% per year. Statute # 31555 Office of Insurance Regulation J. Edwin Larson Building 200 E. Gaines Street, Room 101A Tallahassee, Florida 32399-0305 Phone: Fax: Fla. Stat. Fla. Stat. Updated June 2015 State Status/Terms of Law State Contact Website Address Georgia Claims must be paid within 15 working days. Interest accrues at 18% per annum. Office of Insurance and Safety Fire Commissioner Two Martin Luther King, Jr.

5 Drive West Tower, Suite 704 Atlanta, Georgia 30334 Phone: Fax: OCGA Hawaii Clean, paper claims must be paid in 30 days, electronic claims within 15 days. Interest accrues at 15% per annum. Commissioner may impose fines. Hawaii Dept. of Commerce & Consumer Affairs Insurance Division PO Box 3614 Honolulu, Hawaii 96811-3614 Phone: Fax: HRS 431:13-108 Idaho Paper Claims Settled in 45 days & electronic Claims in 30 days Chapter 56 Idaho Department of Insurance 700 West State Street, 3rd Floor Boise, Idaho 83720-0043 Phone: Fax: Kathy McGill 208-334-4300 Idaho Code 41-5602 Illinois Clean claims must be paid in 30 days. Interest accrues at 9% per annum. Illinois Department of Insurance 320 W. Washington Street, 4th Floor Springfield, Illinois 62767-0001 Phone: Fax: Heather Collier (217) 524-4051 215 ILCS 5/368a Indiana Paper claims must be paid in 45 day.

6 Electronic claims must be paid in 30 days. Indiana Department of Insurance 311 W. Washington Street, Suite 103 Indianapolis, Indiana 46204-2787 Phone: Fax: Wanda White 317-232-2426 Ind. Code. Ann. Iowa Payment to be made in 30 days. Penalty is 10% per annum. Iowa Insurance Division Two Ruan Center 601 Locust, 4th Floor Des Moines, IA 50309-3438 Phone: Fax: IAC :586139&pdid=601182&q= Prompt # Kansas Claims will be paid in 30 days. Interest accrues at a rate of 1% Kansas Insurance Department 420 9th Street KSA 40-2441 Updated June 2015 State Status/Terms of Law State Contact Website Address per month. Topeka, Kansas 66612-1678 Phone: Fax: /government/legislative/sessionlaws/2007 Kentucky Claims must be paid or denied within 30 calendar days.

7 Interest accrues at 12% per annum when 31-60 days late, 18% 61-90 when days late and 21% when 91+ days late. Kentucky Department of Insurance PO Box 517 Frankfort, Kentucky 40602-0517 Fax: KRS 806 KAR 17:310 Louisiana Claims submitted electronically must be paid within 25 days. If not paid within 25 days the health insurance issuer shall pay to the claimant an additional late payment adjustment equal to 1 percent of the unpaid balance due for each month. Louisiana Department of Insurance PO Box 94214 Baton Rouge, Louisiana 70804-9214 Fax: 22:1831 LAC 37 et seq. Maine Clean claims must be paid within 30 days. Interest accrues at per month. Department of Professional & Financial Regulation Bureau of Insurance 34 State House Station Augusta, Maine 04333-0034 Fax: 45-A MRS 2436 Maryland Clean claims must be paid within 30 days.

8 Interest accrues at monthly rates of (31-60 days late), 2% (61-120), and (121+) respectively. Maryland Insurance Administration 200 St. Paul Place, Suite 2700 Baltimore, Maryland 21202 Fax: Md. Ins. Code 15-1005 Massachusetts Clean claims must be paid within 30 days. Interest must be paid on clean claims that are not paid within 30 days. Office of Consumer Affairs & Business Regulation Massachusetts Division of Insurance 1000 Washington Street, 8th Floor Boston, Massachusetts 02118-6200 Phone: Fax: ALM GL ch. 176G, 6 Michigan A clean claim submitted to an insurance co. with all the correct information shall be paid within Department of Insurance and Financial Services PO Box 30220 MCL (S(aii0ybb0syx Updated June 2015 State Status/Terms of Law State Contact Website Address 45 days.))

9 Penalty is 12% interest. The bills also hold Medicaid and HMO s to this 45 day schedule. Lansing, Michigan 48909-7720 Fax: 2y13c0khfpy4w)) Minnesota Clean claims must be paid in 30 days. Interest accrues at per month if not paid or denied. Minnesota Department of Commerce 85 7th Place East, Suite 500 St. Paul, Minnesota 55101-2198 Phone: Fax: Vicki Alsides 651-539-1742 Minn. Stat. Mississippi Clean claims must be paid within 25 days if electronic, 35 days if paper claim. Interest accrues at per month. Mississippi Insurance Department PO Box 79 Jackson, Mississippi 39205 Fax: 601-359-2453 Miss. Code. Ann. 83-9-5 Missouri Claims must be acknowledged within 10 days & paid or denied within 15 days of receipt of requested additional information.

10 Interest penalty of 1% per month applies to claims not paid within 45 days. After 40 processing days provider is entitled to a per day penalty: 50% of claim (up to $20) if they notify the carrier. This penalty will accrue for 30 days only, unless the provider served notice again. Rules also stipulates that re-contracted providers may file claims up to one year from date of service; contracted providers for 6 months unless contract states otherwise. Refunds can t be requested after 12 months. Department of Insurance Fin. Institutions & Prof. Registration (DIFP) PO Box 690 Jefferson City, Missouri 65102-0690 Phone: Fax: Mo Montana Clean claims must be paid within 30 days. Interest accrues at 18% per annum. Montana annotated code 33-18-232.