SB 24-163

Senate Bill 24-163, which has been signed into law, changes how health insurance companies handle out-of-network claims by allowing multiple claims to be processed together and under a single arbitration fee. This means that if you have several claims with an insurer for services not covered in your network, they can now be reviewed as one batch rather than individually. The bill also requires insurance companies to provide more detailed information about claim payments to healthcare providers. This law affects patients who use out-of-network health care services and the insurance companies covering those services. Since it has been signed, the new rules will go into effect according to the implementation timeline 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 promulgate 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 this bill as introduced.)

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