Amended Bill Takes New Approach to Contractual Disputes

Payers would be required to provide contact information for providers to request a copy of any contract used to reduce payment for services rendered, under a recently amended bill working through the California Legislature. Assemblymember Phillip Chen, R-Brea, on June 15 amended AB 1048 to introduce language that would require that an explanation of benefits or explanation of review include the state-assigned medical provider network identification number and an email address that the provider can use to request a copy of the underlying contract that purports to allow reducing payment. The b...