Arizona’s New Bill Forces Insurers to Justify Health Claim Denials Transparently

House Bill 2130 has successfully passed the Arizona House of Representatives with an overwhelming vote of 60-0.

PHOENIX — In a significant move towards improving transparency in healthcare, Arizona lawmakers have approved legislation requiring health insurance companies to promptly clarify the reasons behind claim denials. The unanimous support reflects bipartisan agreement on the need for better accountability in the insurance sector.

Sponsored by State Rep. Selina Bliss, R-District 1, the bill mandates that insurance companies provide patients with contact information when a claim or prior authorization for treatment is denied. This communication is crucial for patients seeking clarity on their coverage.

Under the provisions of the bill, insurers are obligated to furnish a “substantive response” within two business days if contacted by a patient regarding a denial. This promptness aims to address concerns about the reasons behind claim rejections and enhance patient understanding.

Bliss highlighted that the primary objective of House Bill 2130 is to reduce administrative overhead in healthcare while simultaneously fostering better communication channels between insurers and patients.

This legislative move is expected to empower patients by providing them with the necessary information to navigate their healthcare options more effectively.