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The Purpose of Prompt Payment Laws

Many healthcare providers assume payors will reimburse claims swiftly, but prompt payment laws are often misunderstood or misapplied. Hospitals and medical groups frequently encounter delays—sometimes intentional, sometimes procedural—that leave cash flow susceptible to disruption.

This resource unfolds a scenario where a billing manager submits a clean, compliant claim, only to face prolonged reimbursement delays. Despite following all guidelines, payments stall. In that moment, the team discovers the power of prompt payment laws and how they can—if enforced—turn the tide in favor of the provider.

You’ll learn how to identify applicable prompt payment statutes, assert your rights effectively, and streamline your appeals for delayed or partial payments—all while maintaining professional relationships with payors.