Dentovio public answer
California prompt pay law dental
Sourced answer
Under Cal. Health & Safety Code §1371.35; Cal. Ins. Code §10123.13, the California payment deadline is 30 calendar days (complete claims). A late complete claim carries interest at 15 percent per annum beginning the first calendar day after the 30-day period, plus the greater of an additional $15 or a fee of 10 percent of the accrued interest. Dental applicability: Covered, expressly. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.
- Cluster
- Practice operations
- Last verified
- 2026-08-30
- Reviewer
- None — owner-published
Dentovio is an independent publisher, not a law firm, insurance department, or government agency. This page was drafted with AI assistance and read against the primary sources linked here, with a per-claim verification record — quote, statutory pinpoint, and the URL actually opened — behind every deadline, rate, and applicability verdict in all fifty-one jurisdictions. It has not been reviewed by a credentialed attorney or dental billing specialist. These pages summarize state prompt-pay statutes as read against the official sources on the date shown, focusing on how each statute treats dental claims. Statutes change and their application turns on plan type, contract status, and claim facts. Educational reference only — not legal advice; confirm current law with the state insurance department or a licensed attorney before acting on a specific claim.
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Query patterns
- California prompt pay law dental
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- California dental insurance payment deadline
- California late insurance payment interest dental
- how long does insurance have to pay a dental claim in California
Source citations
- PROMPTPAY-CALIFORNIA-1 Cal. Health & Safety Code §1371.35 — official California legislative information (leginfo.legislature.ca.gov)
- PROMPTPAY-CALIFORNIA-2 Cal. Ins. Code §10123.13 — insurer claim payment and interest (leginfo.legislature.ca.gov)
- PROMPTPAY-CALIFORNIA-3 Cal. Health & Safety Code §1345 — specialized plan contracts include dental care (leginfo.legislature.ca.gov)