Federal Laws

Find out what rights you and your patients have under current federal statutes and regulations, such as the Employee Retirement Income Security Act and the Medicare Advantage program.

Federal Law

Title 29-Labor-Chapter 18-Subchapter I-Part 7-Subpart B. Other requirements

11/21/2024 29 USC Sections 1185e and 1185f

Preventing surprise medical bills; Ending surprise air ambulance bills

OON-Payment Issues, Prompt Payment Deadlines
State Law

Wyoming Statutes-Title 26-Chapter 15-Article 1. In General

08/29/2023 Wyoming Sections 26-15-124 and 26-15-137

Claim to be accepted or rejected, attorney’s fee; Time limit to seek reimbursement for health insurance overpayments

Overpayments / Recoupments, Prompt Payment Deadlines
State Law

Wisconsin Statutes-Insurance-Chapter 628-Subchapter III. Marketing Practices.

08/29/2023 Wisconsin Section 628.46

Timely payment of claims

Prompt Payment Deadlines
State Law

Texas Statutes-Insurance Code-Title 6-Subtitle C-Chapter 843-Subchapter J. Payment of Claims to Physicians and Providers

08/24/2023 Texas Section 843.340

Audited claims

Prompt Payment Deadlines
State Law

Michigan Compiled Laws-Chapter 333-Health-Public Health Code-Article 18. Surprise Medical Billing

10/30/2020 Michigan Sections 24501-24517

Surprise billing and disclosure

Claims Filing Deadlines, OON-Payment Issues, Prompt Payment Deadlines
State Law

Act of Jun. 17, 1998, P.L. 464, No. 68

08/21/2023 Pennsylvania Section 2166

Prompt Payment

Prompt Payment Deadlines
State Law

Oklahoma Statutes. Title 36. Public Health and Safety

08/18/2023 Oklahoma Section 1219

Clean claims – Reimbursement – Notice of defective claims – Interest on overdue payments – Attorney’s fees

Prompt Payment Deadlines
State Law

Nevada Rev. Statutes-Title 57-Chapter 695C. HMOs-Miscellaneous Provisions

08/15/2023 Nevada Section 695C.187

Schedule for payment of claims: Mandatory inclusion in arrangements for provision of health care

Prompt Payment Deadlines
State Law

Nevada Rev. Statutes-Title 57-Chapter 695C. HMOs-Miscellaneous Provisions

08/15/2023 Nevada Section 695C.185

Approval or denial of claims; payment of claims and interest; requests for additional information; award of costs and attorney’s fees; compliance with requirements

Prompt Payment Deadlines
State Law

Texas Statutes-Insurance Code-Title 8-Subtitle H-Chapter 1551-Subchapter E. Group Coverages

08/24/2023 Texas Section 1551.228

Emergency Care Payments

Prompt Payment Deadlines