This bill proposes to amend Arizona Revised Statutes by adding new sections 20-3104 and 20-3105, which will require health care insurers to provide specific information when they deny claims or prior authorizations. Under the new provisions, if a claim is denied, insurers must supply a telephone number or email address for a department that can explain the denial and must also provide a substantive response to any inquiries regarding the denial within two business days. The same requirements apply to prior authorization denials.

The effective date for these new requirements is set for July 1, 2027. The bill aims to enhance transparency and accountability in the claims process by ensuring that individuals have access to timely explanations and responses from their insurers regarding denied claims and authorizations.

Statutes affected:
Introduced Version: 20-3104, 20-3105