New Connecticut Law Expedites Claim Disputes Between Health Care Providers and Insurers

Short summary

Connecticut's PA 26-56, effective January 1, 2027, shortens health insurer claims recoupment windows from 18 to 12 months, requires electronic appeals with 30-day response deadlines, and defaults disputes to the provider if timelines are missed. This regulatory change addresses recurring friction between healthcare providers and payors over claims procedures.

• •Claims recoupment window shortened from 18 to 12 months for all insurer types
• •Mandatory electronic appeals process with 30-day response requirement
• •Appeal defaults to provider's favor if insurer misses deadline

Generated with AI, which can make mistakes.