HB 25-1151

House Bill 25-1151, also known as the Arbitration of Health Insurance Claims bill, aims to make it easier for healthcare providers and insurance companies to resolve disputes over out-of-network claims. It allows multiple related claims to be combined into a single arbitration case, reducing costs by charging only one fee for all these claims together. The bill also requires insurance companies to provide more detailed information about claim payments to healthcare providers. Since the bill has been signed, it is now law and its provisions will be implemented according to the rules set by the commissioner of insurance.

Official Summary

The bill makes changes to the arbitration requirements for out-of-network health insurance claims by requiring the arbitration process to include a batching process, by which multiple claims may be considered jointly and under the same arbitration fee as part of one payment determination in alignment with federal law. The commissioner of insurance is required to adopt rules that specify the information each insurance carrier is required to submit to a provider with the initial payment of a claim.(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)

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