3.0.0 2308 2023-01-15T04:48:32Z 2023-01-15T04:48:32Z Senate S S 2004-04-08 108 sshr00 Health, Education, Labor, and Pensions Committee Senate Standing Referred to 2004-04-08T19:36:53Z 2004-04-08 sshr00 Health, Education, Labor, and Pensions Committee Senate Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S4046-4048) IntroReferral 2004-04-08 Sponsor introductory remarks on measure. (CR S4046) IntroReferral B00100 9 Library of Congress 2004-04-08 Introduced in Senate IntroReferral 10000 9 Library of Congress C001042 Sen. Corzine, Jon S. [D-NJ] JON CORZINE D NJ S. N R000122 Sen. Reed, Jack [D-RI] John Reed D RI F. 2004-04-08 True B000468 Sen. Bingaman, Jeff [D-NM] JESSE BINGAMAN D NM FRANCIS 2004-04-08 True L000123 Sen. Lautenberg, Frank R. [D-NJ] FRANK LAUTENBERG D NJ R. 2004-04-08 True C000127 Sen. Cantwell, Maria [D-WA] Maria Cantwell D WA 2004-04-08 True Health Claims Collection of accounts Collective bargaining Electronic data interchange Employee health benefits Federal preemption Finance and Financial Sector Fines (Penalties) Government Operations and Politics Government paperwork Health insurance Health maintenance organizations Insurance companies Interest Interest rates Labor and Employment Labor contracts Medicaid Medical economics Medicare Science, Technology, Communications Social Welfare State laws Health 00 2004-04-08 Introduced in Senate 2004-06-24T18:02:26Z Prompt Payment of Health Benefits Claims Act of 2004 - Amends the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to require group health plans and issuers of group health insurance to: (1) acknowledge receipt of claims within ten days; (2) notify claimants, within ten days, of any deficiency in submitted claims and of additional information necessary to correct the deficiency; (3) pay complete and uncontested claims and any uncontested portions of claims within ten days if submitted electronically or within 30 days otherwise; and (4) pay escalating, monthly interest for failing to pay claims within such periods.

Provides that claims are deemed complete ten days after receipt if no notice of any deficiency is given to the claimant. Prohibits retaliation by the plan or issuer for claimants exercising rights under this Act. Requires the Secretary of Health and Human Services to impose fines for willful and knowing violations of this Act or patterns of repeated violations of this Act.

Amends the Public Health Service Act to apply the provisions of this Act to plans issued in the individual market. Amends the Social Security Act to apply these requirements to Medicare Advantage plans, prescription drug plans, and Medicaid managed care plans.

Allows State laws that provide equal or more stringent requirements, standards, or implementation specifications than imposed under this Act.

]]> Prompt Payment of Health Benefits Claims Act of 2004 Display Title Prompt Payment of Health Benefits Claims Act of 2004 Official Title as Introduced A bill to provide for prompt payment and interest on late payments of health care claims. Introduced in Senate IS Short Titles as Introduced Prompt Payment of Health Benefits Claims Act of 2004 Introduced in Senate 2004-04-08T04:00:00Z 2004-04-08 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S4046-4048) text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.