Prompt-Payment Statute

State laws requiring payers to pay clean claims within a specified number of calendar days. Penalties for late payment often include interest. Windows vary: CA requires a complete claim to be reimbursed within 30 calendar days of receipt under Cal. Ins. Code § 10123.13(a) (operative January 1, 2026; previously 30 working days); TX requires 30 days EFT under Tex. Ins. Code § 1301.103; WA requires carriers to pay 95% of clean claims within 30 days under WAC 284-170-431. Self-funded ERISA plans are generally exempt from state prompt-payment laws.