This reporting is required to determine compliance by health insurers and HMOs with regulations that require prompt payment of claims. Regulations were adopted in 1998 to ensure prompt process and payment of claims in 60 days unless disputed.
Physicians fight diseases.
They shouldn t have to fight insurance companies and HMOs. Acting Commissioner Suter said the new reporting requirement will allow the Department to identify payment problems and take the necessary action to correct them. This will give us a good snapshot of the carriers claims payment practices. The Department will ask for comments regarding this proposal when it is published. Currently, there is no single method of handling these complaints from providers.