Health Care Services Rule Requirement to Reimburse Providers a 3% Late Fee for Payments That Exceed 30 Days

The Agency has received numerous complaints from health care providers that payers are refusing to reimburse the additional 3% late fee. When bills are paid after 30 days of receipt of a properly submitted claim, a 3% late fee must be included with the payment amount (R 418.101001) (R 418.101016).

The 3% late fee is a mandatory requirement. Failure to comply with this requirement may result in an Agency compliance hearing against the carrier.

If you have further questions, please contact the Health Care Services Division at 517-284-8898.