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Public Act 103-0705


 

Public Act 0705 103RD GENERAL ASSEMBLY

 


 
Public Act 103-0705
 
HB5317 EnrolledLRB103 38524 RPS 68660 b

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

Effective Date: 7/19/2024