Insurance Regulation 102
230-2540 INACTIVE RULE
| Title | 230 | Department of Business Regulation (includes the Office of the Health Insurance Commissioner) |
| Chapter | XXX | Old Regulations Which Were Not Assigned Chapter-Subchap-Part |
| Subchapter | XX | Old Regulations Which Were Not Assigned Chapter-Subchap-Part |
| Part | 2540 | Insurance Regulation 102 |
| Type of Filing | Adoption |
| Regulation Status | Inactive |
| Effective | 10/28/2003 to 01/01/2007 |
Regulation Authority:
R.I. Gen. Laws Sections 42-14-17 and 42-35-3
Purpose and Reason:
The purpose of this Regulation is to require Health Care Entities and Health Plans Operating in this State to process health care claims from Health Care Providers and policyholders within thirty (30) calendar days from receipt of said claim and to pay Health Care Providers and Policyholders within thirty (30) calendar days following receipt of a complete electronic claim and forty (40) calendar days following receipt of a complete written claim from such Provider or Policyholder pursuant to R.I. Gen. Laws Sections 27-18-61, 27-19-52, 27-20-47 and 27-41-64. This regulation applies to all Health Care Entities and Health Plans Operating in Rhode Island for claims submitted to such Health Care Entity or Health Plan by Health Care Providers or by Policyholders for Health Care Services rendered in this State to the persons enrolled in such Plans.
