This bill proposes to amend 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 the new provisions outlined in section 20-3103 is set for July 1, 2026. This update aims to enhance transparency and accountability in the claims process, ensuring that individuals have access to necessary information and support when their claims are denied. The current statutes regarding the timely payment of health care claims remain unchanged, while the new requirements will be integrated into the existing framework.

Statutes affected:
Introduced Version: 20-3103
House Engrossed Version: 20-3103