| 1 | Representative Galvano offered the following: |
| 2 |
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| 3 | Amendment to Amendment (638745) |
| 4 | Remove line(s) 208-236 and insert: |
| 5 | chapter 461, chapter 465, or chapter 466 must be submitted to |
| 6 | the provider within 12 months after the health insurer's payment |
| 7 | of the claim. A claim for overpayment shall not be permitted |
| 8 | beyond 12 months after the health insurer's payment of a claim, |
| 9 | except claims for overpayment may be sought beyond that time |
| 10 | from providers convicted of fraud pursuant to s. 817.234. |
| 11 | (19) Notwithstanding any other provision of this section, |
| 12 | all claims for underpayment from a provider licensed under |
| 13 | chapter 458, chapter 459, chapter 460, chapter 461, chapter 465, |
| 14 | or chapter 466 must be submitted to the insurer within 12 months |
| 15 | after the health insurer's payment of the claim. A claim for |
| 16 | underpayment shall not be permitted beyond 12 months after the |
| 17 | health insurer's payment of a claim. |
| 18 | Section 8. Subsections (16) and (17) are added to section |
| 19 | 641.3155, Florida Statutes, to read: |
| 20 | 641.3155 Prompt payment of claims.-- |
| 21 | (16) Notwithstanding the 30-month period provided in |
| 22 | subsection (5), all claims for overpayment submitted to a |
| 23 | provider licensed under chapter 458, chapter 459, chapter 460, |
| 24 | chapter 461, chapter 465, or chapter 466 must be submitted to |
| 25 | the provider within 12 months after the health maintenance |
| 26 | organization's payment of the claim. A claim for overpayment |
| 27 | shall not be permitted beyond 12 months after the health |
| 28 | maintenance organization's payment of a claim, except claims for |
| 29 | overpayment may be sought beyond that time from providers |
| 30 | convicted of fraud pursuant to s. 817.234. |
| 31 | (17) Notwithstanding any other provision of this section, |
| 32 | all claims for underpayment from a provider licensed under |
| 33 | chapter 458, chapter 459, chapter 460, chapter 461, chapter 465, |
| 34 | or chapter |
| 35 | or chapter |