Medicare Advantage Prompt Pay Act

The Medicare Advantage Prompt Pay Act would require Medicare Advantage organizations to pay at least 95 percent of clean claims from providers within 14 days for electronic claims and 30 days for non-electronic claims, regardless of whether the provider is in-network or out-of-network. The bill establishes a rebuttable presumption for when claims are received, mandates interest payments for late claims, and authorizes civil money penalties of up to $25,000 per violation for noncompliance. It also requires plans to report detailed compliance data, including claim payment rates and interest paid, and applies to items and services furnished on or after January 1, 2027.

No official summary is available here. This one was written by AI from the bill’s text.