HB5317 EnrolledLRB103 38524 RPS 68660 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
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, 2026 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
17transactions for claims submissions, payments, and
18verification of benefits required under the Health Insurance
19Portability and Accountability Act in order to be compensable
20by the dental plan carrier.
21(Source: P.A. 102-146, eff. 7-23-21.)
 
22    Section 99. Effective date. This Act takes effect upon

 

 

HB5317 Enrolled- 2 -LRB103 38524 RPS 68660 b

1becoming law.