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SF 394 Senate Long Description

E Relating to health; requiring utilization review organizations, + health plan companies or claims administrators to allow health care providers to +submit health care services prior authorization requests by telephone, +facsimile (fax), voice mail or electronic mechanism at any time, exempting +dental services covered under MinnesotaCare, general assistance medical care+ (GAMC) and medical assistance (MA) from the requirement; enacting the +"Minnesota Health Plan Contracting Act", establishing procedures for the +contracting of health care providers by health plan companies, exemptions; +specifying certain contract and proposed amendment disclosure requirements; providing +for the regulation of payment rates; regulating service code changes by +health plan companies; prohibiting the use of unilateral terms in contracts +relating to indemnification or arbitration, authorizing unilateral termination by+ either party, specifying certain health plan company advance notice +requirements for termination without cause; modifying certain provisions regulating +network shadow contracting; changing the term network organization to health +plan company; modifying certain provider consent requirements; requiring +health plan companies to make available to providers upon request information on +the status of claims submitted consistent with the standards for uniform health +care reimbursement documents; specifying certain interest payment +requirements; authorizing the commissioner of commerce to assess a financial +administrative penalty against health plan companies for claim payment violations +under certain conditions; requiring health plan companies releasing +provider identifiable profiling data to consumers or health plan members to +provide the providers with an opportunity to review the data and a summary +describing the underlying analysis and methodology, providing for appeal of the +release, exempting utilization profiling by dental plan organizations (je, ja)