House Engrossed

claims; prior authorization; denials; contact

State of Arizona

House of Representatives

Fifty-seventh Legislature

First Regular Session

2025

HOUSE BILL 2130

AN ACT

amending title 20, chapter 20, article 1, arizona revised statutes, by adding section 20-3103; relating to timely payment of health care insurance claims.

(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. Health care insurer; claims and prior authorization denials; contact person

If a health care insurer denies a claim or a prior authorization for any reason, the health care insurer shall provide both of the following:

1. A telephone number or email address to reach an individual or a department that can provide a detailed explanation and address questions as to why the claim or prior authorization was denied.

2. A substantive response to questions about why the claim or prior authorization was denied within two business days after RECEIPT of the questions. END_STATUTE

Sec. 2. Effective date

Section 20-3103, Arizona Revised Statutes, as added by this act, is effective from and after June 30, 2026.[Section 20-3103, Arizona Revised Statutes, as added by this act is effective from and after June 30, 2026.][2. the name and contact information of an individual or specific department of the insurer that can address questions about the claim or prior authorization denial.]

[2. A substantive response to questions about why the claim or prior authorization was denied within two business days after RECEIPT of the questions.] END_STATUTE

<<Sec.  Effective date