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| | HB5317 Engrossed | | LRB103 38524 RPS 68660 b |
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| 1 | | AN ACT concerning regulation.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Uniform Electronic Transactions in Dental |
| 5 | | Care Billing Act is amended by changing Section 20 as follows:
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| 6 | | (215 ILCS 111/20) |
| 7 | | Sec. 20. Uniform electronic claims and eligibility |
| 8 | | transactions required. |
| 9 | | (a) Beginning January 1, 2026 2025, no dental plan carrier |
| 10 | | is required to accept from a dental care provider eligibility |
| 11 | | for a dental plan transaction or dental care claims or |
| 12 | | equivalent encounter information transaction except as |
| 13 | | provided in this Act. |
| 14 | | (b) All dental plan carriers and dental care providers |
| 15 | | must exchange claims and eligibility information |
| 16 | | electronically using the standard electronic data interchange |
| 17 | | transactions for claims submissions, payments, and |
| 18 | | verification of benefits required under the Health Insurance |
| 19 | | Portability and Accountability Act in order to be compensable |
| 20 | | by the dental plan carrier. |
| 21 | | (Source: P.A. 102-146, eff. 7-23-21.)
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| 22 | | Section 99. Effective date. This Act takes effect upon |