This bill addresses the relationship between dental healthcare providers and insurers, specifically focusing on the review and denial of claims. It mandates that any review, audit, or investigation by a nonprofit dental service corporation regarding claims must be completed within six months of the claims being paid. Additionally, the bill prohibits insurers from denying claims for procedures that have received prior authorization, except under specific circumstances such as changes in the patient's condition or documentation issues.

The bill also amends existing law regarding contracts between health insurers and dentists, ensuring that contracts cannot require dentists to provide services at fees set by the insurer unless those services are covered. It further clarifies that contracts cannot limit fees for non-covered services or prevent dentists from billing patients for necessary services that are denied by the insurer. The existing section of K.S.A. 40-2,185 is repealed, and the new provisions are set to take effect upon publication in the statute book.

Statutes affected:
As Introduced: 40-2
As introduced: 40-2