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Missouri prompt pay law dental
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Under Mo. Rev. Stat. §376.383; §376.384; §376.427, the Missouri payment deadline is 45 processing days (electronic claims only); No prompt-pay protection (paper claims are outside §376.383). If the carrier has not paid by the forty-fifth processing day, it owes "one percent interest per month and a penalty in an amount equal to one percent of the claim per day," calculated on the unpaid balance as of that day; on claims where the amount owed exceeds thirty-five thousand dollars the 1 percent per day penalty is capped at 100 days and 2 percent per month runs afterward (§376.383.6(1)). Dental applicability: Dental payers are inside, but by a route worth knowing. 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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Source citations
- PROMPTPAY-MISSOURI-1 Mo. Rev. Stat. §376.383 — Missouri Revisor of Statutes (revisor.mo.gov)
- PROMPTPAY-MISSOURI-2 Mo. Rev. Stat. §376.384 — electronic-format limit and enforcement (revisor.mo.gov)
- PROMPTPAY-MISSOURI-3 Mo. Rev. Stat. §376.427 — prepaid dental plan corporations and direct payment (revisor.mo.gov)