48 pages; Dec. 2024. "Plan and claim administrators should have a duty to provide and receive documents through electronic means.... The Department should develop model language and model forms, including a model EOB, for use in the claims and appeals process.... The Department should revise existing regulations relating to urgent care claims and appeals to reduce the 72-hour timeframe wherever possible.... [T]he Department should require disclosure of whether AI was used to make a benefit determination." [Also available: Written Statements by invited witnesses]  MORE >>