This bill amends sections 627.6131 and 641.3155 of the Florida Statutes to establish a new requirement for the submission of insurance overpayment claims by psychologists. Specifically, it mandates that all claims for overpayment submitted to providers licensed under chapters 458, 459, 460, 461, or 490 must be submitted within 12 months following the health insurer's or health maintenance organization's payment of the claim. The bill also clarifies that claims for overpayment cannot be pursued beyond this 12-month period, except in cases where the provider has been convicted of fraud.

Additionally, the bill specifies that these amendments will apply to claims for services provided on or after January 1, 2026, and it is set to take effect on July 1, 2025. The inclusion of chapter 490 in the list of applicable provider licenses is a notable change, expanding the scope of the law to include psychologists.

Statutes affected:
S 944 c1: 627.6131, 641.3155