State Law

LA. Admin. Code-Title 37-Part XIII-Chapter 60-Regulation 74. Payment of Health Coverage Claims

08/07/2023 Louisiana Section 6009

Electronic Claim Submission Standards

Prompt Payment Deadlines

A. Any clean claim for a covered benefit payable to or on behalf of a covered person submitted by a contracted health care provider as an electronic claim shall be paid to the claimant not more than 25 days from the date upon which a clean claim form is received by the health insurance issuer or its legal agent, unless just and reasonable grounds such as would put a reasonable and prudent businessman on his guard exist.