MA CPR: Tips and Tools From the Experts in CMA's Center for Economic Advocacy
— August 2010
Unfair Payment Practices: Claim Acknowledgement
Your office calls a health plan to follow up on the payment status of a claim, only to be told there is no claim on file. Sound familiar?
To protect physicians from this type of unfair payment practice, CMA sponsored AB 1455, The Healthcare Provider Bill of Rights. This law requires that health plans and their contracting medical groups/IPAs acknowledge receipt of each and every claim.