State Law

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

08/07/2023 Louisiana Section 6015

Limitations on Claim Filing and Audits

Claims Filing Deadlines

A. Health insurance issuers that limit the period of time that a claim may be filed for payment of benefits shall have the same limited period of time following payment of such claims to perform any review or audit for purposes of reconsidering the validity of such claims. For example, where a health insurance issuer limits the period for filing a claim for benefits to 12 months, then the health insurance issuer shall be limited to 12 months from the date of payment to perform any review or audit of the claim.