94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB4094

 

Introduced 7/26/2005, by Rep. Mary E. Flowers

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/370u new

    Amends the Health Care Reimbursement Article of the Illinois Insurance Code. Provides that a health care provider that submits a completed standardized claim form for health care services to an insurer or administrator shall be deemed to have submitted a complete claim. Provides that an insurer or administrator shall not request additional information from a provider submitting a completed standardized claim form more than once for that claim.


LRB094 12783 LJB 47627 b

 

 

A BILL FOR

 

HB4094 LRB094 12783 LJB 47627 b

1     AN ACT concerning insurance.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Illinois Insurance Code is amended by adding
5 Section 370u as follows:
 
6     (215 ILCS 5/370u new)
7     Sec. 370u. Standardized claim forms; request for
8 additional information.
9     (a) Any provider submitting a completed standardized claim
10 form for health care services to an insurer or administrator
11 shall be deemed to have submitted a complete claim.
12     (b) An insurer or administrator shall not request
13 additional information from a provider submitting a completed
14 standardized claim form more than once for that claim.
15     (c) "Standardized claim form" means the current
16 standardized claim form for health care services approved by
17 the federal government.