Limitation periods for payment of claims; overdue claims; retroactive denials, adjustments, etc.; penalties.

Claims filing-overpayment-health insurers’ payment dislosure obligations

Out-of-network health care providers – out-of-network services – billing – payment

Material changes to fee schedules. Return of payment by provider. Appeals. Filing of claim by provider under other applicable insurance coverage. Certain clauses, covenants and agreements prohibited. Exception

Time of submitting claim for reimbursement 

Time of submitting claim for reimbursement

Payment of claims

Contested claims; Delay of payment; Conditions; Procedure