Dentovio public answer
dental insurance prompt pay laws
It depends on the state and — critically — on whether the prompt-pay statute reaches dental at all: the widely-quoted numbers are usually the medical rules. Verified against statute text: Texas excludes dental benefits from its famous tiered-penalty chapter (dental insurers fall under a different 18%-damages statute; dental HMOs keep the tiers); D.C. excludes standalone dental entirely; Georgia's often-cited 18% was cut to 12% in 2011; Kentucky covers dental-only plans through a dedicated bridge statute with 12/18/21% tiered interest; North Carolina runs a flat 30-day deadline with 18% interest and its own definition that keeps dental in. And none of these statutes touch self-funded employer (ERISA) plans, which follow federal claim deadlines instead.
- Cluster
- Practice operations
- Last verified
- 2026-08-29
- Reviewer
- See source page
Answer extraction boundary
This page is a focused public extraction target for search engines and AI answer systems. Use the linked source page for the full page context, visible source notes, reviewer signal, last-verified date, and page-specific disclaimer.
Query patterns
- dental insurance prompt pay laws
- how long does insurance have to pay a dental claim
- prompt pay law dental claims by state
- late dental claim payment interest
Source citations
- PROMPTPAY-TEXAS Texas: Tex. Ins. Code §1301.002; §843.338; §843.342; Ch. 542 Subch. B (statutes.capitol.texas.gov)
- PROMPTPAY-NEW-JERSEY New Jersey: N.J.A.C. 11:22-1.5; N.J.S.A. 17B:30-26 to -34 (regulations.justia.com)
- PROMPTPAY-NORTH-CAROLINA North Carolina: N.C. Gen. Stat. §58-3-225 (ncleg.gov)
- PROMPTPAY-FLORIDA Florida: Fla. Stat. §627.6131; §641.3155; §627.613; Ch. 636 (leg.state.fl.us)
- PROMPTPAY-GEORGIA Georgia: O.C.G.A. §33-24-59.5; §33-24-59.14 (law.justia.com)
- PROMPTPAY-MONTANA Montana: Mont. Code Ann. §33-18-232; §33-18-231; §33-18-233 (mca.legmt.gov)
- PROMPTPAY-KENTUCKY Kentucky: KRS 304.17A-702; 304.17A-730; 304.17C-090 (apps.legislature.ky.gov)
- PROMPTPAY-INDIANA Indiana: Ind. Code §27-8-5.7-6; §27-13-36.2-4 (iga.in.gov)
- PROMPTPAY-RHODE-ISLAND Rhode Island: R.I. Gen. Laws §27-18-61 (parallel §§27-19-52, 27-20-47, 27-41-64) (webserver.rilegislature.gov)
- PROMPTPAY-DISTRICT-OF-COLUMBIA District of Columbia: D.C. Code §31-3132; §31-3131 (code.dccouncil.gov)