The bill amends section 627.6131 of the Florida Statutes to establish a new requirement for insurance overpayment claims submitted to psychologists. Specifically, it mandates that all claims for overpayment must be submitted within 12 months following the health insurer's payment of the original claim. This amendment expands the categories of providers to include those licensed under chapter 490, in addition to the existing chapters 458, 459, 460, 461, and 466. Furthermore, it stipulates that claims for overpayment cannot be pursued beyond the 12-month period, except in cases where the provider has been convicted of fraud.

The amendments will apply to claims for services provided on or after January 1, 2026, and the act is set to take effect on July 1, 2025. This legislative change aims to streamline the claims process and establish clear timelines for the submission of overpayment claims in the field of psychology.

Statutes affected:
H 839 Filed: 627.6131