Answers
Prompt pay deadlines
196 questions answered. When an insurer is legally late, state by state, with the statute cited.
When must an insurer pay a clean claim in Alaska?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No electronic/paper split. If the insurer requests information inside the…
What is the prompt pay law in Alaska?
30 calendar days after receipt of a clean claim. No electronic vs paper split. If the insurer requests information within that window, it must pay within 15 calendar days of receiving the information or within 30 days of the claim. Source:…
How many days does a payer have to pay a claim in Alaska?
30 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/ak/title-21-insurance/ak-st-sect-21-36-495/
Is my payer late in Alaska?
Work it out from the date the payer received the clean claim. Alaska's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Alabama?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. If additional information is requested, the claim must be adjudicated…
What is the prompt pay law in Alabama?
30 calendar days for a clean electronic claim; 45 calendar days for a clean written claim (Ala. Code 27-1-17(a)). If the payer requests additional information, the claim must be adjudicated within 21 calendar days of receiving it. Source:…
How many days does a payer have to pay a claim in Alabama?
30 calendar days electronic, 45 calendar days paper. Source: https://codes.findlaw.com/al/title-27-insurance/al-code-sect-27-1-17/
Is my payer late in Alabama?
Work it out from the date the payer received the clean claim. Alabama's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Arkansas?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. The deadline is in an Insurance Department rule, not the statute; the…
What is the prompt pay law in Arkansas?
30 days for clean claims submitted electronically, 45 days for claims submitted by other means. The deadline is in the Arkansas Insurance Department rule (23 CAR § 15-110, Rule 43), not the statute — Ark. Code § 23-66-215 only sets the 12% per annum…
How many days does a payer have to pay a claim in Arkansas?
30 calendar days electronic, 45 calendar days paper. Source: https://codeofarrules.arkansas.gov/Rules/Rule?levelType=section&titleID=23&chapterID=39&subChapterID=187&partID=615&subPartID=4304§ionID=27087
Is my payer late in Arkansas?
Work it out from the date the payer received the clean claim. Arkansas's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Arizona?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. This is the deadline to ADJUDICATE. Arizona allows a further 30 days after…
What is the prompt pay law in Arizona?
30 days to adjudicate a clean claim, then a further 30 days after adjudication to pay the approved portion — so up to ~60 days end to end. No electronic-versus-paper distinction in the statute. Source:…
How many days does a payer have to pay a claim in Arizona?
30 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/az/title-20-insurance/az-rev-st-sect-20-3102/
Is my payer late in Arizona?
Work it out from the date the payer received the clean claim. Arizona's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in California?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Runs from receipt of a complete claim. No electronic/paper split. Source:…
What is the prompt pay law in California?
30 calendar days for a complete claim, with no separate deadline for electronic and paper. Health and Safety Code 1371 was re-enacted by Stats. 2024, Ch. 763 and this replaced the older 30-working-day rule. Source:…
How many days does a payer have to pay a claim in California?
30 calendar days electronic, 30 calendar days paper. Source: https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1371.
Is my payer late in California?
Work it out from the date the payer received the clean claim. California's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Colorado?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source:…
What is the prompt pay law in Colorado?
30 calendar days for clean claims submitted electronically; 45 calendar days for clean claims submitted by any other means (C.R.S. 10-16-106.5(4)(a)) Source: https://codes.findlaw.com/co/title-10-insurance/co-rev-st-sect-10-16-106-5/
How many days does a payer have to pay a claim in Colorado?
30 calendar days electronic, 45 calendar days paper. Source: https://codes.findlaw.com/co/title-10-insurance/co-rev-st-sect-10-16-106-5/
Is my payer late in Colorado?
Work it out from the date the payer received the clean claim. Colorado's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Connecticut?
20 calendar days for a clean claim submitted electronically and 60 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. One of the widest electronic-versus-paper gaps in the country — forty…
What is the prompt pay law in Connecticut?
20 days for claims submitted electronically; 60 days for paper claims Source: https://codes.findlaw.com/ct/title-38a-insurance/ct-gen-st-sect-38a-816.html
How many days does a payer have to pay a claim in Connecticut?
20 calendar days electronic, 60 calendar days paper. Source: https://codes.findlaw.com/ct/title-38a-insurance/ct-gen-st-sect-38a-816.html
Is my payer late in Connecticut?
Work it out from the date the payer received the clean claim. Connecticut's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Delaware?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. The carrier may instead deny in writing or request documentation…
What is the prompt pay law in Delaware?
30 days after receipt of a clean claim for the carrier to pay in full, pay in part with written explanation, deny in writing, or request additional documentation; then 15 days to act after the requested information arrives. No electronic/paper split. Source:…
How many days does a payer have to pay a claim in Delaware?
30 calendar days electronic, 30 calendar days paper. Source: https://www.law.cornell.edu/regulations/delaware/18-Del-Admin-Code-SS-1310-6.0
Is my payer late in Delaware?
Work it out from the date the payer received the clean claim. Delaware's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Florida?
20 calendar days for a clean claim submitted electronically and 40 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Electronic claims must also be acknowledged within 24 hours of the next…
What is the prompt pay law in Florida?
20 days for an electronically submitted claim; 40 days for a non-electronic (paper) claim. Florida Statutes 627.6131 (health insurers). Electronic claims must also be acknowledged within 24 hours of the next business day; paper claims within 15 days. Source:…
How many days does a payer have to pay a claim in Florida?
20 calendar days electronic, 40 calendar days paper. Source: https://codes.findlaw.com/fl/title-xxxvii-insurance/fl-st-sect-627-6131/
Is my payer late in Florida?
Work it out from the date the payer received the clean claim. Florida's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Georgia?
15 working days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. The electronic deadline is in WORKING days and the paper deadline in…
What is the prompt pay law in Georgia?
15 working days for electronic claims; 30 calendar days for paper claims. Interest of 12 percent per annum applies to late payment. Source: https://codes.findlaw.com/ga/title-33-insurance/ga-code-sect-33-24-59-5/
How many days does a payer have to pay a claim in Georgia?
15 working days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/ga/title-33-insurance/ga-code-sect-33-24-59-5/
Is my payer late in Georgia?
Work it out from the date the payer received the clean claim. Georgia's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Hawaii?
15 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. The fastest electronic deadline of any state here. Source:…
What is the prompt pay law in Hawaii?
15 calendar days for electronically filed clean claims; 30 calendar days for claims filed in writing (fastest electronic deadline of any state reviewed here) Source:…
How many days does a payer have to pay a claim in Hawaii?
15 calendar days electronic, 30 calendar days paper. Source: https://web.archive.org/web/20260806140338/https://www.capitol.hawaii.gov/hrscurrent/Vol09_Ch0431-0435H/HRS0431/HRS_0431-0013-0108.htm (HRS 431:13-108(b); capitol.hawaii.gov returns 403 to this…
Is my payer late in Hawaii?
Work it out from the date the payer received the clean claim. Hawaii's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Iowa?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. The 30 days is in the implementing rule, not the statute.…
What is the prompt pay law in Iowa?
30 days for clean claims — no electronic vs. paper distinction (the statute, Iowa Code 507B.4A, sets no number itself; the 30-day deadline lives in the implementing rule, Iowa Admin. Code 191—15.32(2)(a)). Interest of 10% per annum accrues from the 31st day.…
How many days does a payer have to pay a claim in Iowa?
30 calendar days electronic, 30 calendar days paper. Source: https://www.legis.iowa.gov/docs/iac/rule/191.15.32.pdf
Is my payer late in Iowa?
Work it out from the date the payer received the clean claim. Iowa's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs, and…
When must an insurer pay a clean claim in Idaho?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. The deadline only attaches if the provider filed within 30 days…
What is the prompt pay law in Idaho?
30 days for electronic claims; 45 days for paper claims — but the deadline only attaches if the provider filed within 30 days (electronic) or 45 days (paper) of the date of service Source:…
How many days does a payer have to pay a claim in Idaho?
30 calendar days electronic, 45 calendar days paper. Source: https://web.archive.org/web/20251225092455/https://legislature.idaho.gov/statutesrules/idstat/Title41/T41CH56/SECT41-5602/ (Idaho Code 41-5602(2)-(3); legislature.idaho.gov refuses connections from…
Is my payer late in Idaho?
Work it out from the date the payer received the clean claim. Idaho's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs, and…
When must an insurer pay a clean claim in Illinois?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Runs from receipt of due written proof of loss. No split. 9% per year…
What is the prompt pay law in Illinois?
30 days after receipt of due written proof of loss. The statute sets no separate electronic vs. paper deadline. Late payment accrues 9% per year interest from the 30th day. Source: https://codes.findlaw.com/il/chapter-215-insurance/il-st-sect-215-5-368a/
How many days does a payer have to pay a claim in Illinois?
30 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/il/chapter-215-insurance/il-st-sect-215-5-368a/
Is my payer late in Illinois?
Work it out from the date the payer received the clean claim. Illinois's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Indiana?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source:…
What is the prompt pay law in Indiana?
30 days for clean claims filed electronically; 45 days for claims filed on paper (IC 27-8-5.7-6) Source: https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-8-5-7-6.html
How many days does a payer have to pay a claim in Indiana?
30 calendar days electronic, 45 calendar days paper. Source: https://codes.findlaw.com/in/title-27-insurance/in-code-sect-27-8-5-7-6.html
Is my payer late in Indiana?
Work it out from the date the payer received the clean claim. Indiana's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Kansas?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Where the insurer requests more information it has 15 days after…
What is the prompt pay law in Kansas?
30 days for clean claims — no electronic vs. paper distinction (K.S.A. 40-2442). Where the insurer requests additional information, it has 15 days after receiving it. Late payment carries 1% per month interest. Source:…
How many days does a payer have to pay a claim in Kansas?
30 calendar days electronic, 30 calendar days paper. Source: https://www.ksrevisor.gov/statutes/chapters/ch40/040_024_0042.html
Is my payer late in Kansas?
Work it out from the date the payer received the clean claim. Kansas's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Kentucky?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Organ transplant claims run to 60 days. Source:…
What is the prompt pay law in Kentucky?
30 calendar days for a clean claim, paper or electronic alike (no electronic/paper split); 60 days for organ transplant claims Source: https://codes.findlaw.com/ky/title-xxv-business-and-financial-institutions/ky-rev-st-sect-304-17a-702/
How many days does a payer have to pay a claim in Kentucky?
30 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/ky/title-xxv-business-and-financial-institutions/ky-rev-st-sect-304-17a-702/
Is my payer late in Kentucky?
Work it out from the date the payer received the clean claim. Kentucky's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Louisiana?
25 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Paper is 45 days only where a contracted provider billed within 45 days of…
What is the prompt pay law in Louisiana?
25 days for an electronic clean claim (La. R.S. 22:1833(B)(1)). For paper: 45 days if the contracted provider billed within 45 days of the date of service, but 60 days if billed later than that or if the claim is a resubmission (La. R.S. 22:1832(A)(1)-(2));…
How many days does a payer have to pay a claim in Louisiana?
25 calendar days electronic, 45 calendar days paper. Source: https://codes.findlaw.com/la/revised-statutes/la-rev-stat-tit-22-sect-1833/
Is my payer late in Louisiana?
Work it out from the date the payer received the clean claim. Louisiana's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Massachusetts?
45 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Runs from receipt of completed reimbursement forms. Interest of 1.5% per…
What is the prompt pay law in Massachusetts?
45 days from receipt of completed reimbursement forms to pay, deny in writing, or request additional information; interest of 1.5% per month (max 18%/yr) accrues after that. Source: https://law.onecle.com/massachusetts/176g/6.html
How many days does a payer have to pay a claim in Massachusetts?
45 calendar days electronic, 45 calendar days paper. Source: https://law.onecle.com/massachusetts/176g/6.html
Is my payer late in Massachusetts?
Work it out from the date the payer received the clean claim. Massachusetts's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Maryland?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Interest escalates automatically without the provider asking:…
What is the prompt pay law in Maryland?
30 days after receipt of the claim (Md. Code, Insurance § 15-1005(c)). The statute sets no separate electronic vs. paper deadline. Unpaid clean claims accrue escalating monthly interest — 1.5% for days 31-60, 2% for days 61-120, 2.5% thereafter — paid…
How many days does a payer have to pay a claim in Maryland?
30 calendar days electronic, 30 calendar days paper. Source: https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gin§ion=15-1005&enactments=false
Is my payer late in Maryland?
Work it out from the date the payer received the clean claim. Maryland's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Maine?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. A claim neither disputed nor paid within 30 days is overdue and…
What is the prompt pay law in Maine?
30 days. Maine's statute makes no distinction between electronic and paper claims; a claim neither disputed nor paid within 30 days is overdue and bears interest at 1.5% per month. Source: https://legislature.maine.gov/statutes/24-a/title24-Asec2436.html
How many days does a payer have to pay a claim in Maine?
30 calendar days electronic, 30 calendar days paper. Source: https://legislature.maine.gov/statutes/24-a/title24-Asec2436.html
Is my payer late in Maine?
Work it out from the date the payer received the clean claim. Maine's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs, and…
When must an insurer pay a clean claim in Michigan?
45 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. The plan must tell the provider within 30 days every known reason the…
What is the prompt pay law in Michigan?
45 days to pay a clean claim. The plan must tell the provider within 30 days of receipt every known reason the claim is not clean. Unpaid clean claims accrue 12% simple interest per annum. Source:…
How many days does a payer have to pay a claim in Michigan?
45 calendar days electronic, 45 calendar days paper. Source: https://codes.findlaw.com/mi/chapter-500-insurance-code-of-1956/mi-comp-laws-500-2006/
Is my payer late in Michigan?
Work it out from the date the payer received the clean claim. Michigan's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Minnesota?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. One deadline covers both channels. Source:…
What is the prompt pay law in Minnesota?
30 calendar days for clean claims. Minn. Stat. 62Q.75 makes no distinction between electronic and paper submission — one deadline covers both. Source: https://www.revisor.mn.gov/statutes/cite/62Q.75
How many days does a payer have to pay a claim in Minnesota?
30 calendar days electronic, 30 calendar days paper. Source: https://www.revisor.mn.gov/statutes/cite/62Q.75
Is my payer late in Minnesota?
Work it out from the date the payer received the clean claim. Minnesota's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a claim in Missouri?
Missouri counts "processing days", a defined term that is not calendar days, and the structure is a status notice within 30 processing days, then 10 processing days after additional information, then 5 after a final request. A calendar date computed from it…
Is my payer late in Missouri?
Work it out from the date the payer received the clean claim. Missouri's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Mississippi?
25 calendar days for a clean claim submitted electronically and 35 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source:…
What is the prompt pay law in Mississippi?
25 days for clean claims submitted electronically, 35 days for clean claims submitted in paper format (Miss. Code § 83-9-5(1)(h)1). Source: https://law.justia.com/codes/mississippi/title-83/chapter-9/accident-and-health-insurance/section-83-9-5/
How many days does a payer have to pay a claim in Mississippi?
25 calendar days electronic, 35 calendar days paper. Source: https://law.justia.com/codes/mississippi/title-83/chapter-9/accident-and-health-insurance/section-83-9-5/
Is my payer late in Mississippi?
Work it out from the date the payer received the clean claim. Mississippi's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Montana?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Runs from receipt of proof of loss, and extends to 60 days if…
What is the prompt pay law in Montana?
30 days to pay or deny after receipt of proof of loss; 60 days if the insurer makes a reasonable request for additional information or documents. No separate electronic/paper timeline. Source:…
How many days does a payer have to pay a claim in Montana?
30 calendar days electronic, 30 calendar days paper. Source: https://archive.legmt.gov/bills/mca/title_0330/chapter_0180/part_0020/section_0320/0330-0180-0020-0320.html
Is my payer late in Montana?
Work it out from the date the payer received the clean claim. Montana's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in North Carolina?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Same deadline both channels, but the RECEIPT DATE differs: electronic…
What is the prompt pay law in North Carolina?
30 calendar days after receipt of a claim, for both electronic and paper. The receipt date differs by channel: electronic claims are deemed received the day transmitted, mailed claims the fifth business day after mailing. Source:…
How many days does a payer have to pay a claim in North Carolina?
30 calendar days electronic, 30 calendar days paper. Source: https://www.ncdoi.gov/insurance-industry/form-and-rate-filings/life-and-health/prompt-pay-requirement
Is my payer late in North Carolina?
Work it out from the date the payer received the clean claim. North Carolina's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in North Dakota?
15 business days for a clean claim submitted electronically and 15 business days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. BUSINESS days, not calendar. No split. A further 15 business days runs…
What is the prompt pay law in North Dakota?
15 business days to pay, deny, or make an initial request for additional information; then another 15 business days after the requested information is received. The statute sets no separate electronic vs paper deadline. Source:…
How many days does a payer have to pay a claim in North Dakota?
15 business days electronic, 15 business days paper. Source: https://codes.findlaw.com/nd/title-26-1-insurance/nd-cent-code-sect-26-1-36-37-1/
Is my payer late in North Dakota?
Work it out from the date the payer received the clean claim. North Dakota's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Nebraska?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source:…
What is the prompt pay law in Nebraska?
30 calendar days for electronic clean claims; 45 calendar days for non-electronic clean claims Source: https://web.archive.org/web/20251108161534/https://www.nebraskalegislature.gov/laws/statutes.php?statute=44-8004 (Neb. Rev. Stat. 44-8004(1);…
How many days does a payer have to pay a claim in Nebraska?
30 calendar days electronic, 45 calendar days paper. Source: https://web.archive.org/web/20251108161534/https://www.nebraskalegislature.gov/laws/statutes.php?statute=44-8004 (Neb. Rev. Stat. 44-8004(1); nebraskalegislature.gov refuses connections from this…
Is my payer late in Nebraska?
Work it out from the date the payer received the clean claim. Nebraska's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in New Hampshire?
15 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. If the insurer denies or pends it must notify inside the same window;…
What is the prompt pay law in New Hampshire?
15 calendar days for a clean electronic claim; 30 calendar days for a clean non-electronic (paper) claim. If the insurer denies or pends, it has 15 days (electronic) / 30 days (paper) to notify; after receiving requested additional info it must adjudicate…
How many days does a payer have to pay a claim in New Hampshire?
15 calendar days electronic, 30 calendar days paper. Source: https://www.lawserver.com/law/state/new-hampshire/nh-laws/new_hampshire_revised_statutes_415_6-h
Is my payer late in New Hampshire?
Work it out from the date the payer received the clean claim. New Hampshire's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in New Jersey?
30 calendar days for a clean claim submitted electronically and 40 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Interest accrues from day 31 / day 41. Source:…
What is the prompt pay law in New Jersey?
30 calendar days for electronic clean claims; 40 calendar days for paper (non-electronic) clean claims. Interest accrues from day 31 / day 41. Source: https://www.nj.gov/dobi/division_insurance/prompt11-22.htm
How many days does a payer have to pay a claim in New Jersey?
30 calendar days electronic, 40 calendar days paper. Source: https://www.nj.gov/dobi/division_insurance/prompt11-22.htm
Is my payer late in New Jersey?
Work it out from the date the payer received the clean claim. New Jersey's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in New Mexico?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source: https://www.srca.nm.gov/parts/title13/13.010.0028.html
What is the prompt pay law in New Mexico?
30 days for electronic clean claims; 45 days for manually (paper) submitted clean claims Source: https://www.srca.nm.gov/parts/title13/13.010.0028.html
How many days does a payer have to pay a claim in New Mexico?
30 calendar days electronic, 45 calendar days paper. Source: https://www.srca.nm.gov/parts/title13/13.010.0028.html
Is my payer late in New Mexico?
Work it out from the date the payer received the clean claim. New Mexico's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Nevada?
21 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Shortened from a uniform 30 days by AB52 (2025), effective 1 January 2026.…
What is the prompt pay law in Nevada?
21 days for electronic clean claims, 30 days for non-electronic — effective January 1, 2026 under AB52 (83rd Session, 2025), which shortened the prior uniform 30-day rule. Approved claims must be paid within that same window. Source:…
How many days does a payer have to pay a claim in Nevada?
21 calendar days electronic, 30 calendar days paper. Source: https://www.leg.state.nv.us/Session/83rd2025/Bills/AB/AB52_EN.pdf
Is my payer late in Nevada?
Work it out from the date the payer received the clean claim. Nevada's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in New York?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Facsimile counts as "other means", so a faxed claim gets 45 days. The duty…
What is the prompt pay law in New York?
30 days for a claim transmitted electronically (internet or e-mail); 45 days for a claim submitted by other means such as paper or facsimile. New York Insurance Law 3224-a(a). The duty does not apply where the insurer's obligation is not reasonably clear or…
How many days does a payer have to pay a claim in New York?
30 calendar days electronic, 45 calendar days paper. Source: https://www.nysenate.gov/legislation/laws/ISC/3224-A
Is my payer late in New York?
Work it out from the date the payer received the clean claim. New York's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Ohio?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split; runs from a claim on the standard form. Extends to 45 days where…
What is the prompt pay law in Ohio?
30 days to pay or deny a claim submitted on the standard claim form; 45 days if the payer determines reasonable supporting documentation is needed. No electronic vs. paper split in the statute. Source: https://law.onecle.com/ohio/title-39/3901.381.html
How many days does a payer have to pay a claim in Ohio?
30 calendar days electronic, 30 calendar days paper. Source: https://law.onecle.com/ohio/title-39/3901.381.html
Is my payer late in Ohio?
Work it out from the date the payer received the clean claim. Ohio's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs, and…
When must an insurer pay a clean claim in Oklahoma?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source:…
What is the prompt pay law in Oklahoma?
30 calendar days for electronic clean claims; 45 calendar days for paper clean claims Source: https://www.oid.ok.gov/consumers/insurance-basics/prompt-pay-information/
How many days does a payer have to pay a claim in Oklahoma?
30 calendar days electronic, 45 calendar days paper. Source: https://www.oid.ok.gov/consumers/insurance-basics/prompt-pay-information/
Is my payer late in Oklahoma?
Work it out from the date the payer received the clean claim. Oklahoma's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Oregon?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Source: https://oregon.public.law/statutes/ors_743b.450
What is the prompt pay law in Oregon?
30 days to pay or deny a clean claim; statute draws no electronic vs paper distinction Source: https://oregon.public.law/statutes/ors_743b.450
How many days does a payer have to pay a claim in Oregon?
30 calendar days electronic, 30 calendar days paper. Source: https://oregon.public.law/statutes/ors_743b.450
Is my payer late in Oregon?
Work it out from the date the payer received the clean claim. Oregon's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Pennsylvania?
45 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split — 45 days either way. Interest is added to late clean claims and…
What is the prompt pay law in Pennsylvania?
45 days from receipt of a clean claim, with no electronic-vs-paper distinction — the same 45 days applies either way. Act 68 / 40 P.S. 991.2166, implemented at 31 Pa. Code 154.18. Interest is added to late clean claims and must itself be paid within 30 days…
How many days does a payer have to pay a claim in Pennsylvania?
45 calendar days electronic, 45 calendar days paper. Source: https://www.pacodeandbulletin.gov/Display/pacode?file=%2Fsecure%2Fpacode%2Fdata%2F031%2Fchapter154%2Fs154.18.html&d=reduce
Is my payer late in Pennsylvania?
Work it out from the date the payer received the clean claim. Pennsylvania's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Rhode Island?
30 calendar days for a clean claim submitted electronically and 40 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source: https://rules.sos.ri.gov/regulations/part/230-20-30-6
What is the prompt pay law in Rhode Island?
30 calendar days for a complete (clean) electronic claim; 40 calendar days for a complete written claim. Source: https://rules.sos.ri.gov/regulations/part/230-20-30-6
How many days does a payer have to pay a claim in Rhode Island?
30 calendar days electronic, 40 calendar days paper. Source: https://rules.sos.ri.gov/regulations/part/230-20-30-6
Is my payer late in Rhode Island?
Work it out from the date the payer received the clean claim. Rhode Island's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in South Carolina?
20 business days for a clean claim submitted electronically and 40 business days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. BUSINESS days, not calendar — unusual, and it makes the real elapsed time…
What is the prompt pay law in South Carolina?
20 business days for clean claims submitted electronically; 40 business days for clean claims submitted on paper (S.C. Code 38-59-230). Note these are business days, not calendar days — unusual. Source: https://www.scstatehouse.gov/code/t38c059.php
How many days does a payer have to pay a claim in South Carolina?
20 business days electronic, 40 business days paper. Source: https://www.scstatehouse.gov/code/t38c059.php
Is my payer late in South Carolina?
Work it out from the date the payer received the clean claim. South Carolina's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in South Dakota?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. If more information is needed the carrier must ask within 30 days and the…
What is the prompt pay law in South Dakota?
30 calendar days for clean claims submitted electronically; 45 calendar days otherwise (paper). If additional info is needed, the carrier must ask within 30 days and the provider must respond within 30 days. Source: https://sdlegislature.gov/Statutes/58-12-20
How many days does a payer have to pay a claim in South Dakota?
30 calendar days electronic, 45 calendar days paper. Source: https://sdlegislature.gov/Statutes/58-12-20
Is my payer late in South Dakota?
Work it out from the date the payer received the clean claim. South Dakota's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Tennessee?
21 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Inside the window the payer must pay, or tell the provider in writing why…
What is the prompt pay law in Tennessee?
21 calendar days for electronically submitted claims; 30 calendar days for paper claims (Tenn. Code Ann. § 56-7-109) — within that window the health insurance entity must pay a clean claim or tell the provider in writing why it is not clean Source:…
How many days does a payer have to pay a claim in Tennessee?
21 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/tn/title-56-insurance/tn-code-sect-56-7-109/
Is my payer late in Tennessee?
Work it out from the date the payer received the clean claim. Tennessee's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Texas?
30 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source: https://texas.public.law/statutes/tex._ins._code_section_843.338
What is the prompt pay law in Texas?
30 days for an electronically submitted clean claim, and 45 days for a paper one, under Texas Insurance Code 843.338. Source: https://texas.public.law/statutes/tex._ins._code_section_843.338
How many days does a payer have to pay a claim in Texas?
30 calendar days electronic, 45 calendar days paper. Source: https://texas.public.law/statutes/tex._ins._code_section_843.338
Is my payer late in Texas?
Work it out from the date the payer received the clean claim. Texas's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs, and…
When must an insurer pay a clean claim in Utah?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Runs from receipt of a written claim; the statute sets no separate…
What is the prompt pay law in Utah?
30 days from receipt of a written claim to pay or deny (45 days for income replacement benefit claims); the statute sets no separate electronic deadline Source: https://codes.findlaw.com/ut/title-31a-insurance-code/ut-code-sect-31a-26-301-6.html
How many days does a payer have to pay a claim in Utah?
30 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/ut/title-31a-insurance-code/ut-code-sect-31a-26-301-6.html
Is my payer late in Utah?
Work it out from the date the payer received the clean claim. Utah's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs, and…
When must an insurer pay a clean claim in Virginia?
40 calendar days for a clean claim submitted electronically and 40 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Source:…
What is the prompt pay law in Virginia?
40 days from receipt of the claim (no separate electronic/paper deadline in the statute). Source: https://law.lis.virginia.gov/vacode/title38.2/chapter34/section38.2-3407.15/
How many days does a payer have to pay a claim in Virginia?
40 calendar days electronic, 40 calendar days paper. Source: https://law.lis.virginia.gov/vacode/title38.2/chapter34/section38.2-3407.15/
Is my payer late in Virginia?
Work it out from the date the payer received the clean claim. Virginia's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in Vermont?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. A further 30 days runs after requested additional information is…
What is the prompt pay law in Vermont?
30 days from receipt of a claim to pay, contest, or deny; a further 30 days after receiving the additional information requested. Same deadline for electronic and paper claims. Source: https://legislature.vermont.gov/statutes/section/18/221/09418
How many days does a payer have to pay a claim in Vermont?
30 calendar days electronic, 30 calendar days paper. Source: https://legislature.vermont.gov/statutes/section/18/221/09418
Is my payer late in Vermont?
Work it out from the date the payer received the clean claim. Vermont's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a claim in Washington?
Washington does not set a per-claim deadline. It sets a monthly-volume standard: 95% of the monthly volume of clean claims within 30 days, and 95% of all claims paid or denied within 60. One late claim is not a breach, so no date can be computed for it.…
Is my payer late in Washington?
Work it out from the date the payer received the clean claim. Washington's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Wisconsin?
30 calendar days for a clean claim submitted electronically and 30 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. A general insurance prompt-pay provision rather than a clean-claim rule,…
What is the prompt pay law in Wisconsin?
30 days after the insurer is furnished written notice of the loss and its amount (Wis. Stat. § 628.46(1)). This is a general insurance prompt-pay provision — the section does not set separate electronic vs. paper clean-claim deadlines; a parallel 30-day rule…
How many days does a payer have to pay a claim in Wisconsin?
30 calendar days electronic, 30 calendar days paper. Source: https://codes.findlaw.com/wi/insurance-ch-600-to-655/wi-st-628-46/
Is my payer late in Wisconsin?
Work it out from the date the payer received the clean claim. Wisconsin's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
When must an insurer pay a clean claim in West Virginia?
30 calendar days for a clean claim submitted electronically and 40 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. Source:…
What is the prompt pay law in West Virginia?
30 days for electronic clean claims; 40 days for manually submitted clean claims Source: https://web.archive.org/web/20251118161818/https://code.wvlegislature.gov/33-45-2/ (W. Va. Code 33-45-2(a)(1); the live code.wvlegislature.gov URL 302-redirects off-host…
How many days does a payer have to pay a claim in West Virginia?
30 calendar days electronic, 40 calendar days paper. Source: https://web.archive.org/web/20251118161818/https://code.wvlegislature.gov/33-45-2/ (W. Va. Code 33-45-2(a)(1); the live code.wvlegislature.gov URL 302-redirects off-host from this machine)
Is my payer late in West Virginia?
Work it out from the date the payer received the clean claim. West Virginia's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it…
When must an insurer pay a clean claim in Wyoming?
45 calendar days for a clean claim submitted electronically and 45 calendar days for one submitted on paper or by other means. The clock runs from the payer's receipt of a CLEAN claim. No split. Runs from receipt of proofs of loss. Accident and health claims…
What is the prompt pay law in Wyoming?
45 days after receipt of the proofs of loss and supporting evidence. No electronic vs paper distinction in the statute. Exception: accident and health claims where validity or amount is questioned and referred to the Wyoming state medical peer review…
How many days does a payer have to pay a claim in Wyoming?
45 calendar days electronic, 45 calendar days paper. Source: https://codes.findlaw.com/wy/title-26-insurance-code/wy-st-sect-26-15-124.html
Is my payer late in Wyoming?
Work it out from the date the payer received the clean claim. Wyoming's statutory deadline and a date calculator are published free at https://softhomeglobal.com/prompt-pay-calculator/. Note that your contract may be shorter than the statute and it governs,…
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