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Ohio prompt pay law dental
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Under Ohio Rev. Code §3901.381; §3901.389; §3901.38, the Ohio payment deadline is 30 days (standard claim form, no format split). "Any third-party payer that fails to comply with section 3901.381 … shall pay interest," and "the interest rate … shall be equal to an annual percentage rate of eighteen per cent" (§3901.389(A)–(B)). Dental applicability: Covered, in the statute's own words. "Benefits contract" means a sickness and accident insurance policy providing hospital, surgical, or medical expense coverage, or a health insuring corporation contract or other policy under which a third-party payer agrees to reimburse for covered health care "or dental services," and the provider definition lists a dentist by name (§3901.38(B), (D)). 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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- how long does insurance have to pay a dental claim in Ohio
Source citations
- PROMPTPAY-OHIO-1 Ohio Rev. Code §3901.381 — third-party payers processing claims (codes.ohio.gov)
- PROMPTPAY-OHIO-2 Ohio Rev. Code §3901.389 — interest at 18% per annum (codes.ohio.gov)
- PROMPTPAY-OHIO-3 Ohio Rev. Code §3901.38 — definitions naming dental services and dentists (codes.ohio.gov)