Pennsylvania § 3805 Coordination of benefits

Pennsylvania Statutes

§ 3805 — Coordination of benefits

Pennsylvania § 3805

Title 40INSURANCE

PartPART II

Ch. 38RETROACTIVE DENIAL OF REIMBURSEMENTS

This text of Pennsylvania § 3805 (Coordination of benefits) is published on Counsel Stack Legal Research, covering Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

40 Pa. Cons. Stat. § 3805 (2026).

Text

If an insurer retroactively denies reimbursement for services as a result of coordination of benefits under the provisions of section 3804(4) (relating to exceptions to retroactive denial of reimbursement), the health care provider shall have 12 months from the date of the denial, unless the entity responsible for payment permits a longer time period, to submit a claim for reimbursement for the service to such entities.

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If an insurer retroactively denies reimbursement for services as a result of coordination of benefits under the provisions of section 3804(4) (relating to exceptions to retroactive denial of reimbursement), the health care provider shall have 12 months from the date of the denial, unless the entity responsible for payment permits a longer time period, to submit a claim for reimbursement for the service to such entities.