(a) No patient receiving care from a Health Care Provider, may be billed for the same Clean claim, or portion thereof, submitted for payment to a Health Plan Administrator, unless the provider has elected to terminate that person’s efforts to collect interest penalties as provided for in § 9902(g) of this Article, or a period of ninety (90) days has lapsed from the date of submission of a Clean Claim for payment. This provision shall not apply to any Clean Claim or portion of a Clean Claim that is due and payable by the patient as a benefit limitation, deductible, co-payment, non-covered benefit, patient share, or personal comfort or convenience item.
COL 2025-04-22
(b) A Health Care Provider may not charge more than twelve percent (12%) interest per annum to any patient as a penalty for their failure to make prompt payment of a Clean Claim, or portion thereof, for which the patient is responsible for paying. (c) A Health Care Provider may not charge both the Health Plan Administrator and the patient interest penalties for the same Clean Claim, or portion thereof, submitted for payment to either party.