| 1 | Representative(s) Benson offered the following: |
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| 3 | Amendment (with directory and title amendments) |
| 4 | Between lines 82 and 83, insert: |
| 5 | (4)(a) An insurer that issues a health insurance policy |
| 6 | shall provide a hospital, physician, or other person rendering |
| 7 | services covered by the policy electronic access to the covered |
| 8 | person's eligibility and benefits information through a secure |
| 9 | Internet website. The eligibility and benefits information shall |
| 10 | comply with the transaction standards specified in ANSI ASC X12N |
| 11 | 270 for health care claim eligibility inquiries and ANSI ASC |
| 12 | X12N 271 for health care claim eligibility responses, or |
| 13 | successor transaction standards, pursuant to the Health |
| 14 | Insurance Portability and Accountability Act. |
| 15 | (b) An insurer shall develop an implementation plan to |
| 16 | comply with paragraph (a) no later than March 31, 2007, and |
| 17 | shall make the eligibility and benefits information described in |
| 18 | this subsection available through a secure Internet website no |
| 19 | later than July 1, 2007. |
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| 22 | ====== D I R E C T O R Y A M E N D M E N T ===== |
| 23 | Remove line 50 and insert: |
| 24 | Section 2. Subsections (3) and (4) are added to section |
| 25 | 627.642, |
| 26 |
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| 27 | ======= T I T L E A M E N D M E N T ======= |
| 28 | Remove line 12 and insert: |
| 29 | insureds who have health and accident insurance; requiring |
| 30 | certain insurers to provide to certain service providers by an |
| 31 | Internet website certain information relating to a covered |
| 32 | person; providing criteria; specifying time requirements for |
| 33 | such insurers to implement such requirements; amending |