RSA 420-J:8-b Retroactive Denials Prohibited; Exceptions.

Title: XXXVII - INSURANCE Chapter: 420-J - MANAGED CARE LAW

I. In this section, "retroactive denial of a previously paid claim" means any attempt by a health carrier to retroactively collect payments already made to a health care provider with respect to a claim by requiring repayment of such payments, reducing other payments currently owed to the provider, withholding or setting off against future payments, or reducing or affecting the future claim payments to the provider in any other manner.
II. No health carrier shall impose on any health care provider any retroactive denial of a previously paid claim or any part thereof unless:
(a) The carrier has provided the reason for the retroactive denial in writing to the health care provider; and
(b) The time which has elapsed since the date of payment of the challenged claim do

Log in to read the full statute text and search all NH RSAs.

Read Full Statute