FLA LEG Dental Insurance Claims Bill


On Mar. 7, FLA LEG passed bill on dental insurance claims, contracts.


  • FLA LEG passed bill SB 892 re dental insurance claims and contracts between health insurers and dentists; amends FLA INS XXXVII-627.6131 Insurance rates, contracts.
  • Also FLA INS XXXVII-636.032, FLA INS XXXVII-636.035, and FLA INS XXXVII-641.315
  • Bill Provisions
  • Prohibits contract between health insurer, dentist from payment method restrictions.
  • Health insurer cannot charge a fee to transmit an ACH transfer payment to a dentist.
  • Prohibits insurer from denying claims for procedures included in prior authorization.
  • Contract between a prepaid limited health service organization and a dentist cannot restrict payment methods; cannot specify credit card payment as only method.
  • Legislative History
  • On Dec. 12, 2023, bill introduced in Senate; on Feb. 15, 2024, bill passed in Senate.
  • On Mar. 4, 2024, bill delivered to House; on Mar. 6, 2024, bill was passed in House.
  • On Mar. 7, 2024, bill was engrossed and enrolled; awaiting governor approval or veto.
  • Effectiveness
  • Bill provisions take effect on Jan. 1, 2025.
  • May 2024 FLA LEG Governor Approval
  • On May 20, 2024, FLA LEG reported bill SB892 signed, assigned Chapter 2024-196.
  • In May 2024, NACHA reported on new Florida law re dental EFT claims, see #213809.

Regulators FLA LEG
Entity Types CNSM; Ins
Reference Ch. 2024-196, 5/20/2024; PR, 5/19/2024; Bill SB892 3/7/2024; Citation: *FLA INS* XXXVII-627.6131, XXXVII-636.032, XXXVII-636.035, XXXVII-641.315;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Product Administration; Reporting
Countries United States of America
Category
State
Products Dental; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 3/7/2024
Effective Date 1/1/2025
Rule Id 203904
Linked to Rule :213809
Reg. Last Update 5/20/2024
Report Section US Insurance

Last substantive update on 05/23/2024