The bill amends sections 3901.382 and 5164.46 of the Revised Code to prohibit health insurers and the Medicaid program from imposing fees for electronic claims submissions. Specifically, it introduces new provisions that prevent third-party payers from charging healthcare providers for electronic fund transfers or remittance advice transactions. Additionally, it allows providers to enter into contracts with third-party payers to process claims that are not submitted electronically due to financial hardship or other extenuating circumstances.

Furthermore, the bill clarifies the requirements for Medicaid providers regarding electronic claims submissions. It specifies that the Department of Medicaid and its designees, including managed care organizations, cannot impose any fees on Medicaid providers for electronic claims submitted through the designated electronic claims submission process. The bill also repeals existing sections 3901.382 and 5164.46, indicating a comprehensive update to the regulations governing electronic claims submissions in Ohio.

Statutes affected:
As Introduced: 3901.382, 5164.46