Under this law, out-of-network providers at in-network facilities cannot bill patients beyond in-network cost-sharing rates for emergency and certain non-emergency services. Every affected claim must be correctly identified and routed through Florida’s Independent Dispute Resolution process, not back to the patient.

As snowbird season brings multi-state insurance coverage, unfamiliar payer combinations, and cross-state benefit verification challenges, Transcure verifies coverage across all 50 states. It identifies primary and secondary payers accurately, and ensures claims are submitted to the correct plan, regardless of where the patient’s home state coverage originates.

Florida’s updated price transparency law requires practices to publish shoppable service pricing and provide good-faith estimates upon patient request. Transcure’s billing infrastructure is built to generate accurate, itemized estimates quickly and maintain documentation that satisfies both state and federal transparency requirements simultaneously.

No, as under SB 944, effective January 2026, health insurers can only submit overpayment claims against licensed psychologists within a 12-month window. If your practice includes behavioral health services, this directly affects how you manage payer audits and overpayment demands.

Florida law requires insurers to pay clean electronic claims within 20 days and paper claims within 40 days. When payers miss these windows, there are specific escalation procedures available to providers. Transcure actively tracks payment timelines for every claim and initiates follow-up before deadlines are missed, not after.