State

Idaho

Late Payment Due Date

30 days

Late Payment Percentage

Penalty: 30%

Idaho Administrative Rules

IDAPA 17 TITLE 02 CHAPTER 09 17.02.09 - MEDICAL FEES 

Statute or Regulation Text

035. BILLING AND PAYMENT REQUIREMENTS FOR MEDICAL SERVICES AND PROCEDURES
PRELIMINARY TO DISPUTE RESOLUTION.

10. Dispute Resolution Process. If, after completing the applicable steps set forth above, a Payor and
Provider are unable to agree on the appropriate charge for any Medical Service, a Provider which has complied with the applicable requirements of this rule may move the Commission to resolve the dispute as provided in the Judicial Rule Re: Disputes Between Providers and Payors, as referenced in Sections 031, 032, 033, and 034 of this rule. If
Provider's motion disputing CPT or MS-DRG coded items prevails, Payor shall pay the amount found by the Commission to be owed, plus an additional thirty percent (30%) of that amount to compensate Provider for costs and expenses associated with using the dispute resolution process. For motions filed by a Provider disputing items without CPT or MS-DRG codes, the additional thirty percent (30%) shall be due only if the Payor does not pay the
amount found due within thirty (30) days of the administrative order.