How SB 162 changes current law

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill reduces the timeframe for health insurer recoupment from health care providers from two years to one year.

• Section 3901.388

  two years → one year

  This change limits the period during which a third-party payer can claim recoupment of payments made to providers.

• Section 3901.388

  two years → one year

  This change reduces the time allowed for a third-party payer to initiate recovery of overpayments from providers.

• Section 3901.388

  thirty → sixty

  This change extends the timeframe for providers to respond to overpayment notices from thirty days to sixty days.

• Section 3901.388

  thirty → sixty

  This adjustment allows providers more time to appeal overpayment determinations.

• Section 3901.388

  sooner than thirty → within sixty

  This change clarifies the new response timeframe for providers regarding overpayment notices.

• Section 3901.388

  denied → not upheld

  This change alters the wording used when referring to denied appeals by the provider.

• Section 3901.388

  denied → not upheld

  The modification provides clearer terminology regarding the outcome of appeals.

• Section 3901.388

  a detailed explanation of basis for the third-party payer's determination of overpayment → A detailed explanation of the basis for the third-party payer's determination of overpayment

  This change corrects a grammatical error for clarity in the statute's language.