Timeply payment of self-funded health claims

[Guest Damien]

Is anyone aware of NEW or impending regs governing timely payment of claims for self-funded health plans? Several people have told me they heard or read something about it somewhere, but I can't find anything specific. Help!

[jeanine]

Perhaps they are talking about the new claims rules for ERISA plans that require a shorter turn-around time for claims decisions. Our claim decision is tied to payment--most of our claims are post-treatment so the only way the patient knows for sure the claim is allowed is when they receive an EOB.