Gardner N
J Ark Med Soc. 2000 Feb;96(9):336-8.
Arkansas doctors are banning to help draft a regulation that would require health maintenance organizations and insurance carriers to process health care claims within 45 calendar days after receipt of a claim. The proposed regulation would be administered by the Arkansas Department of Insurance. If additional information from a claimant is needed to process a claim, a carrier must notify a provider within 10 days of receipt of the claim. Once that information is received by the carrier, it has an additional 45 days to pay.
阿肯色州的医生正在协助起草一项规定,该规定将要求健康维护组织和保险公司在收到理赔申请后的45个日历日内处理医疗保健理赔。拟议的规定将由阿肯色州保险部负责执行。如果处理理赔需要索赔人的额外信息,保险公司必须在收到理赔申请后的10天内通知提供者。一旦保险公司收到该信息,它还有另外45天的时间进行赔付。