Appeals Process

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 30 days (EFT) / 45 days (paper) under Cal. Ins. Code § 10123.13; TX requires 30 days EFT under Tex. Ins. Code § 1301.103; WA allows 60 days paper under RCW 48.43.005. Self-funded ERISA plans are generally exempt from state prompt-payment laws.

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