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 for contractual arrangements between providers and 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 maintains that Medicaid providers must use an electronic claims submission process but removes the previous deadline for compliance. The bill also ensures that the Department of Medicaid and its designees, including managed care organizations, cannot impose any fees on providers for electronic claims submissions. Overall, the legislation aims to streamline the claims submission process while alleviating financial burdens on healthcare providers.

Statutes affected:
As Introduced: 3901.382, 5164.46