The proposed bill, if enacted, would amend current statutes by adding a new section to Title 20 of the Arizona Revised Statutes. Specifically, it would require health insurers to notify the Department of Insurance and Financial Institutions (DIFI) and the relevant licensing board if they observe a trend where the number of health care insurance claims filed by a provider exceeds the number of patients that provider could reasonably treat in a given workday. This notification aims to address potential issues of excessive claims and ensure oversight of health care practices.

Additionally, the bill introduces definitions for "health care provider" and "health insurer." A "health care provider" is defined as any individual licensed, registered, or certified under Title 32, while a "health insurer" encompasses various types of disability insurers and health care service organizations. These insertions clarify the scope of the bill and establish the responsibilities of health insurers in monitoring and reporting unusual claims activity.

Statutes affected:
Introduced Version: 20-243