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21 chapters · 2,203 sections in this title.
KRS § 304.17A-710 Disclosure of claims payment information to provider
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(1) In contracts with providers or in the provider manual or other document that sets forth the procedures for filing claims, an insurer shall disclose to providers: (a) The mailing or electronic address where claims should be sent for processing; (b) The phone number a provider …
KRS § 304.17A-712 Claim refunds and overpayments
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(1) Except as provided in subsection (2) of this section, if an insurer determines that payment was made for services rendered to an individual who was not eligible for coverage or that payment was made for services not covered by a covered person's health benefit plan, the insur…
KRS § 304.17A-714 Collection of claim overpayments -- Dispute resolution
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(1) Except for overpayments which are a result of an error in the payment rate or method, an insurer that determines that a provider was overpaid shall, within twenty-four (24) months from the date that the insurer paid the claim, provide written or electronic notice to the provi…
KRS § 304.17A-716 Prohibition against denial or reduction of payment for covered health benefit -- Conditions
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benefit -- Conditions. (1) No insurer or any other person providing or administering a health benefit plan shall deny or reduce payment for a service, procedure, treatment, drug, or device covered under the covered person's health benefit plan if: (a) The covered person's provide…