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Enrolled Bill Summary

Enrolled Bill Summary

Legislative Session: 79(R)

Senate Bill 50                                                   Senate Author:  Nelson

Effective:  9-1-05                                               House Sponsor:  Smithee

            Senate Bill 50 amends the Insurance Code to require an insurer or a health maintenance organization (HMO) to include in a contract with a participating physician, a provider, or a preferred provider--if requested by the contracting party--a provision that prohibits the insurer or HMO from refusing to process or pay an electronically submitted clean claim because the claim was submitted or batched with a non-clean claim.  The bill authorizes the commissioner of insurance to impose penalties relating to violations of this provision.