DISB - Health Insurance Claims Payment (Prompt Pay) Report (a)

The issue with the form appears to be resolved. If your form submits correctly, you will see a message stating "Thank you. Your form has been submitted." The deadline to submit this year’s report has been extended to April 18, 2016.

Health Insurance Claims Payment (Prompt Pay) Report (a)

Health insurers must file this report with the Commissioner no later than March 15th of each year in compliance with the “Prompt Pay Act of 2002” (DC Code §31−3135).  Fields marked with an ( * ) are required fields.

Table 1
Number of Claims Paid in Full (c)
Table 2
Number of Claims Denied
Table 3
Total Group Health Insurance Policies:
Small Group Health Insurance Policies:
Individual Health Insurance Policies:
Table 4: Pre-Existing Conditions
Table 5 New Applicants
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