Rep. Robert "Bob" Rita

Filed: 3/19/2024

 

 


 

 


 
10300HB5317ham001LRB103 38524 RPS 70966 a

1
AMENDMENT TO HOUSE BILL 5317

2    AMENDMENT NO. ______. Amend House Bill 5317 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Uniform Electronic Transactions in Dental
5Care Billing Act is amended by changing Section 20 as follows:
 
6    (215 ILCS 111/20)
7    Sec. 20. Uniform electronic claims and eligibility
8transactions required.
9    (a) Beginning January 1, 2027 2025, no dental plan carrier
10is required to accept from a dental care provider eligibility
11for a dental plan transaction or dental care claims or
12equivalent encounter information transaction except as
13provided in this Act.
14    (b) All dental plan carriers and dental care providers
15must exchange claims and eligibility information
16electronically using the standard electronic data interchange

 

 

10300HB5317ham001- 2 -LRB103 38524 RPS 70966 a

1transactions for claims submissions, payments, and
2verification of benefits required under the Health Insurance
3Portability and Accountability Act in order to be compensable
4by the dental plan carrier.
5(Source: P.A. 102-146, eff. 7-23-21.)
 
6    Section 99. Effective date. This Act takes effect upon
7becoming law.".