Kentucky Statutes 304.17C-090 – Payment of claims of dental-only benefits — Reports — Interest
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The provisions of KRS § 304.17A-700 to KRS § 304.17A-730, relating to payment of claims, shall apply to limited health service benefit plans for the provision of dental-only benefits, except as follows:
(1) A limited health service plan for the provision of dental-only benefits, its agent, or designee shall have three (3) business days in which to respond to an original or corrected claim submitted electronically under KRS § 304.17A-704(1)(a) or, within three (3) business days, the limited health service benefit plan for the provision of dental-only benefits, its agent, or designee may list the claim and the date it was received on a file that can be accessed electronically by the provider, its agent, or designee.
(2) Limited health service benefit plans for the provision of dental-only benefits shall be required to submit the reports required by KRS § 304.17A-722 on an annual basis.
(3) Limited health service benefit plans for the provision of dental-only benefits shall be required to pay interest required under KRS § 304.17A-730 for a claim only if the interest calculated on that claim is equal to or greater than five dollars ($5).
Effective: January 1, 2006
History: Created 2005 Ky. Acts ch. 169, sec. 1, effective January 1, 2006.
(1) A limited health service plan for the provision of dental-only benefits, its agent, or designee shall have three (3) business days in which to respond to an original or corrected claim submitted electronically under KRS § 304.17A-704(1)(a) or, within three (3) business days, the limited health service benefit plan for the provision of dental-only benefits, its agent, or designee may list the claim and the date it was received on a file that can be accessed electronically by the provider, its agent, or designee.
Terms Used In Kentucky Statutes 304.17C-090
- agent: includes managing general agent unless the context requires otherwise. See Kentucky Statutes 304.9-085
- Limited health service benefit plan: means any policy or certificate that provides services for dental, vision, mental health, substance abuse, chiropractic, pharmaceutical, podiatric, or other such services as may be determined by the commissioner to be offered under a limited health service benefit plan. See Kentucky Statutes 304.17C-010
- provider: means the same as defined in KRS §. See Kentucky Statutes 304.17C-010
(2) Limited health service benefit plans for the provision of dental-only benefits shall be required to submit the reports required by KRS § 304.17A-722 on an annual basis.
(3) Limited health service benefit plans for the provision of dental-only benefits shall be required to pay interest required under KRS § 304.17A-730 for a claim only if the interest calculated on that claim is equal to or greater than five dollars ($5).
Effective: January 1, 2006
History: Created 2005 Ky. Acts ch. 169, sec. 1, effective January 1, 2006.