INS CD - RECOUPMENTS House SponsorsRep. Frank J. Mautino and Monique D. Davis 1/11/2011HouseSession Sine Die 215 ILCS 5/368d Amends the Illinois Insurance Code. In the provisions regarding recoupments, removes the requirement that a remittance advice be provided to a health care provider. Provides that except in cases of fraud, all claims paid by an insurer or other specified organization shall be considered final unless adjustments are made pursuant to the Act. Provides that if an insurer or other specified organization determines that it has made an overpayment to a provider, the insurer must give the provider a written statement specifying the basis for the claim of overpayment. Sets forth recoupment provisions for situations where (i) there is a contract between the provider and the insurer and (ii) there is no contract between the provider and the insurer. Provides that an insurer or other specified organization shall not seek recoupment for payment of a claim based on any claimed lack of medical necessity if the insurer has received the provider's treatment records. Provides that an insurer or other specified organization shall not offset payment for claims for services to a patient against claims for the provider's services to any other patient. Makes other changes.House Committee Amendment No. 1 Deletes reference to:215 ILCS 5/368dAdds reference to:215 ILCS 5/1from Ch. 73, par. 613Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Makes technical changes in a Section concerning the short title. 2/5/2009HouseFiled with the Clerk by Rep. Frank J. Mautino 2/6/2009HouseFirst Reading 2/6/2009HouseReferred to Rules Committee 2/11/2009HouseAssigned to Insurance Committee 3/10/2009HouseHouse Committee Amendment No. 1 Filed with Clerk by Insurance Committee 3/10/2009HouseHouse Committee Amendment No. 1 Adopted in Insurance Committee; by Voice Vote 3/10/2009HouseDo Pass as Amended / Standard Debate Insurance Committee; 013-010-000 3/11/2009HousePlaced on Calendar 2nd Reading - Standard Debate 3/12/2009HouseAdded Co-Sponsor Rep. Monique D. Davis 4/1/2009HouseSecond Reading - Standard Debate 4/1/2009HouseHeld on Calendar Order of Second Reading - Standard Debate 4/3/2009HouseRule 19(a) / Re-referred to Rules Committee 1/11/2011HouseSession Sine Die