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Idaho prompt pay law dental
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Under Idaho Code §§41-5602, 41-5603, 41-5605, the Idaho payment deadline is 30 days (electronic, if filed within 30 days of service) and 45 days (paper, if filed within 45 days of service). Section 41-5603 requires interest "at the contract statutory rate pursuant to section 28-22-104, Idaho Code, on the unpaid amount of a claim that is determined to be due and owing," accruing from the date payment was due until the claim is paid. Dental applicability: The word "dental" appears nowhere in Idaho's prompt-payment chapter — not in the exclusions, and not in the affirmative definition either. "Insurer" is defined as any insurer that sells hospital, medical, long-term care, or vision insurance policies or certificates, plus managed care organizations (§41-5601(6)). 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
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- how long does insurance have to pay a dental claim in Idaho
Source citations
- PROMPTPAY-IDAHO-1 Idaho Code §41-5602 — prompt payment of claims (legislature.idaho.gov)
- PROMPTPAY-IDAHO-2 Idaho Code §41-5603 — interest (legislature.idaho.gov)
- PROMPTPAY-IDAHO-3 Idaho Code §41-5605 — exceptions, including the provider-contract override (legislature.idaho.gov)