The participating provider shall submit its claims for payment for services rendered within ninety (90) days after having rendered the same, and the insurer or health services organization is bound to pay in full any claim actionable for payment within a term of thirty (30) calendar days, counting from the date that the insurer or health services organization receives the same.
In the event that the insurer or health services organization is the secondary payer, the ninety (90) day-term shall begin to count on the date that the participating provider receives the determination of the primary payer.
After the terms indicated above have elapsed, the provisions of this chapter shall not apply to said claims. Provided, That the uniform term established herein shall not be construed to render ineffective those minor terms that may apply to the payment of claims for services rendered, if other alternate payment terms have been agreed on by free contracting.
History —Ins. Code, added as § 30.030 on July 7, 2002, No. 104, § 1; July 27, 2011, No. 150, § 1.