REFERENCE TITLE: insurance; claims denial; individual review

State of Arizona

House of Representatives

Fifty-sixth Legislature

Second Regular Session

2024

HB 2660

Introduced by

Representatives Shah: Biasiucci, Gress, Jones, Pingerelli;  Senators Shamp, Shope

An Act

amending title 20, chapter 20, article 1, Arizona Revised Statutes, by adding section 20-3103; relating to health care insurance.

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it enacted by the Legislature of the State of Arizona:

Section 1. Title 20, chapter 20, article 1, Arizona Revised Statutes, is amended by adding section 20-3103, to read:

START_STATUTE20-3103. Denial of claims; health care provider review; unprofessional conduct; definition

A. a health care provider shall individually review each claim for health care services before a health care insurer denies the claim.

B. It is an act of unprofessional conduct for A health care provider to deny a claim without an individual review of the claim.

C. For the purposes of this section, "health care provider" means a person who is licensed pursuant to title 32, chapter 13 or 17. END_STATUTE