Claims Payment Report

Claims Payment Report. (a) Health Insurance Issuers shall include with its annual report filed with the Insurance Commissioner a claims payment report to include the: (1) Number of claims received in the previous calendar year; (2) Number of claims denied in the previous calendar year; (3) Number of claims paid: (i) In the previous calendar year; (ii) In 40 days; (iii) In 60 days; (iv) In 120 days; and (v) In more than 120 days; and (4) Average number of days to pay a claim submitted in the previous calendar year. Source: PL 20-88 § 2(105) (Feb. 8, 2019), modified. Commission Comment: In codifying PL 20-88, the Commission numbered the section pursuant to 1 CMC § 3806(a). The Commission changed the capitalization of defined terms pursuant to 1 CMC § 3806(f).