State Law

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

08/21/2023 Pennsylvania Section 2166

Prompt Payment

Prompt Payment Deadlines

(A) An insurer shall pay a clean claim submitted by a health care provider or covered person within forty-five (45) days of receipt of the clean claim.

(A.1) An MA or CHIP managed care plan shall pay a clean claim submitted by a health care provider within forty-five (45) days of receipt of the clean claim.

(B)  if an insurer fails to remit the payment as provided under subsection (A), interest at ten per centum (10%) per annum shall be added to the amount owed on the clean claim. Interest shall be calculated beginning the day after the required payment date and ending on the date the claim is paid. The insurer shall not be required to pay any interest calculated to be less than two ($2) dollars.

See https://www.legis.state.pa.us/WU01/LI/LI/US/HTM/1998/0/0068..HTM

Amended in 2022 by PA SB 225 accessible at https://www.legis.state.pa.us/cfdocs/billinfo/billinfo.cfm?syear=2021&sind=0&body=S&type=B&bn=225