Senate Bill sb1412er
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2 An act relating to prescription drug claim
3 identification cards; creating s. 627.4302,
4 F.S.; providing intent; requiring certain
5 entities to provide a benefits identification
6 card by a date certain for specified purposes
7 under certain circumstances; providing an
8 exception; specifying required information;
9 providing for temporary stickers for annual
10 renewal cards; providing an effective date.
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12 Be It Enacted by the Legislature of the State of Florida:
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14 Section 1. Section 627.4302, Florida Statutes, is
15 created to read:
16 627.4302 Identification cards for processing
17 prescription drug claims.--
18 (1) The purpose of this section is to improve patient
19 care by minimizing confusion, eliminating unnecessary work,
20 decreasing patient wait time, and improving business
21 efficiencies.
22 (2) Any health insurer or health maintenance
23 organization and all state and local government entities
24 entering into an agreement to provide coverage for
25 prescription drugs on an outpatient basis shall provide a
26 benefits-identification card containing the following
27 information:
28 (a) The name of the claim processor.
29 (b) The electronic-claims payor identification number
30 or the issuer identification number, also referred to as the
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1 Banking Identification Number or "BIN," assigned by the
2 American National Standards Institute.
3 (c) The insured's prescription group number.
4 (d) The insured's identification number.
5 (e) The insured's name.
6 (f) The claims submission name and address.
7 (g) The help desk telephone number.
8 (h) Any other information that the entity finds will
9 assist in the processing of the claim.
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11 The information required in paragraphs (a), (b), (g), and (h)
12 must be provided on the card, unless instruction is provided
13 on the card for ready access to such information by electronic
14 means.
15 (3) The benefits-identification card must present the
16 information in a manner readily identifiable or,
17 alternatively, the information may be embedded in the card and
18 available through magnetic stripe or smart card. The
19 information may also be provided through other electronic
20 technology.
21 (4) Any entity providing a
22 health-benefits-identification card containing all of the
23 information required by this section shall not be required to
24 provide a separate identification card for prescription drug
25 benefits.
26 (5) A benefits-identification card required under
27 subsection (2) shall be issued no later than 60 days after any
28 change in the information contained on the card becomes
29 effective. An entity may issue a temporary sticker containing
30 the new information in lieu of issuing a new card prior to the
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1 annual renewal date. Such sticker must be designed so that it
2 can be attached to the existing card.
3 Section 2. This act shall take effect October 1, 2002,
4 and shall apply to policies or contracts issued or renewed on
5 or after that date.
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