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21 chapters · 2,203 sections in this title.
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…
KRS § 304.17A-718 Disclosure of claims payment information to covered person
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(1) Beginning on January 1, 2001, upon issuance, delivery, or renewal of a health benefit plan in Kentucky, an insurer shall: (a) Clearly indicate on each covered person's identification card the mailing address where a claim for payment shall be sent; and (b) Issue new identific…