The bill addresses regulations concerning contracts between insurers and dental healthcare providers, 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 the denial of claims submitted by dentists for procedures that have received prior authorization, except under specific circumstances such as changes in patient condition or documentation issues.

Furthermore, the bill amends K.S.A. 40-2,185 by removing provisions that previously restricted contracts between health insurers and dentists regarding service fees and billing practices. It clarifies that contracts cannot limit fees for non-covered services and cannot prevent dentists from billing patients for necessary services that are denied by insurers. The existing section of K.S.A. 40-2,185 is repealed, and the new regulations are set to take effect upon publication in the statute book.

Statutes affected:
As introduced: 40-2