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S. B. No. 159 As IntroducedAs Introduced
128th General Assembly | Regular Session | 2009-2010 |
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A BILL
To enact sections 1751.76, 3923.651, and 3923.74 of
the Revised Code to prohibit health insurers from
denying payment for a service during or after the
performance of the service if the insurer provided
prior written authorization for the service.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 1751.76, 3923.651, and 3923.74 of
the Revised Code be enacted to read as follows:
Sec. 1751.76. No health insuring corporation that agrees in
writing to provide coverage for the performance of a service prior
to the performance of the service shall deny payment for the
service during or after the performance of the service unless the
health insuring corporation's written agreement to provide
coverage for the service was based upon inaccurate information
provided to the health insuring corporation by the enrollee or
health care provider.
Sec. 3923.651. No sickness and accident insurer that agrees
in writing to provide coverage for the performance of a service
prior to the performance of the service shall deny payment for the
service during or after the performance of the service unless the
insurer's written agreement to provide coverage for the service
was based upon inaccurate information provided to the insurer by
the insured or the health care provider.
Sec. 3923.74. No public employee benefit plan that agrees in
writing to provide coverage for the performance of a service prior
to the performance of the service shall deny payment for the
service during or after the performance of the service unless the
public employee benefit plan's written agreement to provide
coverage for the service was based upon inaccurate information
provided to the public employee benefit plan by the plan member,
covered dependent, or health care provider.
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