Senate Bill 0426
CODING: Words stricken are deletions; words underlined are additions.
Florida Senate - 2000 SB 426
By Senator Geller
29-421-00 See HB 241
1 A bill to be entitled
2 An act relating to personal injury protection
3 insurance claims; amending s. 627.736, F.S.;
4 increasing the allowable time for a provider to
5 file a claim with an insurer; 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. Paragraph (b) of subsection (5) of section
11 627.736, Florida Statutes, is amended to read:
12 627.736 Required personal injury protection benefits;
13 exclusions; priority.--
14 (5) CHARGES FOR TREATMENT OF INJURED PERSONS.--
15 (b) With respect to any treatment or service, other
16 than medical services billed by a hospital for services
17 rendered at a hospital-owned facility, the statement of
18 charges must be furnished to the insurer by the provider and
19 may not include, and the insurer is not required to pay,
20 charges for treatment or services rendered more than 60 30
21 days before the postmark date of the statement, except for
22 past due amounts previously billed on a timely basis under
23 this paragraph, and except that, if the provider submits to
24 the insurer a notice of initiation of treatment within 21 days
25 after its first examination or treatment of the claimant, the
26 statement may include charges for treatment or services
27 rendered up to, but not more than, 60 days before the postmark
28 date of the statement. The injured party is not liable for,
29 and the provider shall not bill the injured party for, charges
30 that are unpaid because of the provider's failure to comply
31 with this paragraph. Any agreement requiring the injured
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CODING: Words stricken are deletions; words underlined are additions.
Florida Senate - 2000 SB 426
29-421-00 See HB 241
1 person or insured to pay for such charges is unenforceable.
2 For emergency services and care as defined in s. 395.002
3 rendered in a hospital emergency department or for transport
4 and treatment rendered by an ambulance provider licensed
5 pursuant to part III of chapter 401, the provider is not
6 required to furnish the statement of charges within the time
7 periods established by this paragraph; and the insurer shall
8 not be considered to have been furnished with notice of the
9 amount of covered loss for purposes of paragraph (4)(b) until
10 it receives a statement complying with paragraph (5)(d), or
11 copy thereof, which specifically identifies the place of
12 service to be a hospital emergency department or an ambulance
13 in accordance with billing standards recognized by the Health
14 Care Finance Administration. Each notice of insured's rights
15 under s. 627.7401 must include the following statement in type
16 no smaller than 12 points:
17 BILLING REQUIREMENTS.--Florida Statutes provide
18 that with respect to any treatment or services,
19 other than certain hospital and emergency
20 services, the statement of charges furnished to
21 the insurer by the provider may not include,
22 and the insurer and the injured party are not
23 required to pay, charges for treatment or
24 services rendered more than 60 30 days before
25 the postmark date of the statement, except for
26 past due amounts previously billed on a timely
27 basis, and except that, if the provider submits
28 to the insurer a notice of initiation of
29 treatment within 21 days after its first
30 examination or treatment of the claimant, the
31 statement may include charges for treatment or
2
CODING: Words stricken are deletions; words underlined are additions.
Florida Senate - 2000 SB 426
29-421-00 See HB 241
1 services rendered up to, but not more than, 60
2 days before the postmark date of the statement.
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4 Section 2. This act shall take effect October 1, 2000.
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7 HOUSE SUMMARY
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Increases from 30 to 60 days the allowable time a
9 provider has to submit an insurance claim to an insurer.
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