Download HB 2668 Predetermination Estimate of Patient`s out of pocket costs

HB 2668
Predetermination Estimate of Patient’s out of pocket costs of health care services
Peanut of HB 2668. Move HIPAA transaction set 837-P and 837-I from “Voluntary” to “Active” in the HIPAA master suite of transactions. These approved
HIPAA electronic transaction sets center around providing in real time or batch mode patient’s health care benefits and cost of procedures.
Patient Benefits
1. Will facilitate informed decisions on how to spend the health care dollar and helps prevent patient “sticker shock.”
2. The patients have the right to know what kind of financial obligation they will incur as well as have time to prepare to satisfy it.
3. Knowing what out of pocket expenses will be due is important in the changing health care environment. Patients may be purchasing health care for
the first time through the Exchange and will be unfamiliar with their co-payment, deductible, and co-insurance responsibilities.
4. Patients are being asked to manage a larger part of their health care expenses yet they are unable to find out the cost until after the fact. This will
enable patients to have an estimate of the cost of the service they are purchasing.
5. The costs of healthcare are difficult enough for patients to understand, and patients deserve complete information as soon as possible.