The 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 specified chapters, including the newly added chapter 490, must be submitted within 12 months following the health insurer's or health maintenance organization's payment of the claim. This change replaces the previous 30-month period and stipulates that claims for overpayment cannot be accepted beyond the 12-month timeframe, except in cases where providers have 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. This legislative change aims to streamline the claims process and ensure timely resolution of overpayment issues in the field of psychology.

Statutes affected:
H 839 Filed: 627.6131
H 839 c1: 627.6131, 641.3155