Louisiana Administrative Code
Title 37 - INSURANCE
Part XIII - Regulations
Chapter 60 - Regulation 74-Payment of Health Coverage Claims
Section XIII-6009 - Electronic Claim Submission Standards
Current through Register Vol. 50, No. 3, March 20, 2024
A. Any clean claim for a covered benefit payable to or on behalf of a covered person submitted by a contracted health care provider as an electronic claim shall be paid to the claimant not more than 25 days from the date upon which a clean claim form is received by the health insurance issuer or its legal agent, unless just and reasonable grounds such as would put a reasonable and prudent businessman on his guard exist.
AUTHORITY NOTE: Promulgated in accordance with R.S. 22:3, 22:250.35, to implement and enforce the following provisions R.S. 22:230.4(A)(4), Part VI-D of Chapter 1 of the Louisiana Revised Statutes of 1950, and R.S. 40:2203.1).
