[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 74 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                 H. R. 74

        To provide for the simplification of health payor forms.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 5, 1993

Mr. Hoagland introduced the following bill; which was referred jointly 
      to the Committees on Energy and Commerce and Ways and Means

_______________________________________________________________________

                                 A BILL


 
        To provide for the simplification of health payor forms.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Payor Forms Simplification 
Act of 1993''.

SEC. 2. HEALTH PAYOR FORMS SIMPLIFICATION.

    (a) Development of Plan and Model.--The Secretary of Health and 
Human Services shall request the National Association of Insurance 
Commissioners--
            (1) to develop, by not later than January 1, 1995--
                    (A) model forms (particularly forms used by 
                consumer and health care providers) that use commonly 
                understood terminology in submitting claims to health 
                payors, and
                    (B) a plan for simplifying and making more uniform 
                forms and procedures, health care provider invoices, 
                explanations of procedures, and electronic claims 
                submission; and
            (2) to consult, in developing such model forms and plan, 
        with representatives of consumer groups (including the 
        elderly), government agencies, health payors, health care 
        providers, business, labor, and other appropriate groups 
        affected by such forms or plan.
    (b) Definitions.--In this section:
            (1) Health payor.--The term ``health payor'' includes for-
        profit and non-profit insurance companies, self-funded health 
        plans, health maintenance organizations, the medicare and 
        medicaid programs, and other Federal and State programs 
        providing payment for health care.
            (2) Health care providers.--The term ``health care 
        providers'' includes hospitals, physicians, and other licensed 
        providers of health care.

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