House Bill 4045
CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 1998 HB 4045
By Representative Silver
1 A bill to be entitled
2 An act relating to insurance fraud; amending s.
3 627.613, F.S.; removing a limit on rewards for
4 reductions of payments on improperly billed
5 claims; providing construction; providing an
6 effective date.
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8 Be It Enacted by the Legislature of the State of Florida:
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10 Section 1. Subsection (7) of section 627.613, Florida
11 Statutes, is amended to read:
12 627.613 Time of payment of claims.--
13 (7) Upon written notification by an insured, an
14 insurer shall investigate any claim of improper billing by a
15 physician, hospital, or other health care provider. The
16 insurer shall determine if the insured was properly billed for
17 only those procedures and services that the insured actually
18 received. If the insurer determines that the insured has been
19 improperly billed, the insurer shall notify the insured and
20 the provider of its findings and shall reduce the amount of
21 payment to the provider by the amount determined to be
22 improperly billed. If a reduction is made due to such
23 notification by the insured, the insurer shall pay to the
24 insured 20 percent of the amount of the reduction up to $500.
25 For purposes of this subsection, the term "insured" includes
26 any authorized agent of an insured.
27 Section 2. This act shall take effect upon becoming a
28 law.
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CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 1998 HB 4045
586-118-98
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2 HOUSE SUMMARY
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Removes the $500 cap on rewards for reporting improperly
4 billed medical claims which result in a reduction in
payments.
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