The bill amends the Healthcare Contracting Simplification Act by introducing a definition for "downcode," which refers to the practice of changing a claim to a lower-cost healthcare service than what was originally submitted by a healthcare provider. This new definition is added to the existing definitions in Arkansas Code 23-99-1202.

Additionally, the bill mandates that contracting entities must notify healthcare providers if they downcode a claim. This notification must occur within thirty days of processing the claim, ensuring that providers are informed of any changes made to their submitted claims. This amendment aims to enhance transparency in the healthcare contracting process.

Statutes affected:
Old version HB1287 V2 - 2-10-2025 10:11 AM: 23-99-1202
Old version HB1287 Original - 1-28-2025 05:02 PM: 23-99-1202
HB 1287: 23-99-1202
Act 136: 23-99-1202