Your Right to Timely Payment Under Act 68
Act 68—the Quality and Health Care Accountability and Protection Act—requires health insurers to remit payment for clean claims within 45 days of receipt.
Act 68's prompt payment provisions apply only to managed care plans operating under the HMO Act. It excludes plans which are primarily fee for service, including Medical Assistance fee for service, Workers' Compensation, Auto insurance and CHAMPUS.
Publication: Your Right to Timely Payment Under Act 68
Your Right to Timely Payment Under Act 68—a free member brochure—explains physicians' rights for prompt payment of clean claims, as well as other key provisions of Act 68 including the grievance process, utilization review, and associated time frames. State Society members can order a printed copy of Your Right to Timely Payment Under Act 68 through our online store or can download the PDF below.
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Last Updated: 1/10/2008