This bill proposes to amend the Arizona Revised Statutes by adding a new section, 20-3103, which mandates that health care insurers provide specific information when denying a claim or prior authorization. Under the new law, insurers must supply a telephone number or email address for an individual or department that can offer a detailed explanation regarding the denial. Additionally, they are required to provide a substantive response to inquiries about the denial within two business days of receiving those questions.
The effective date for this new requirement is set for July 1, 2026. The bill does not alter any existing provisions in the current statutes but adds these new obligations to enhance transparency and communication between health care insurers and their clients regarding claim denials.
Statutes affected: Introduced Version: 20-3103
House Engrossed Version: 20-3103