Rhode Island prompt pay law dental

Sourced answer

Under R.I. Gen. Laws §27-18-61 (parallel §§27-19-52, 27-20-47, 27-41-64), the Rhode Island payment deadline is 30 calendar days (complete electronic claims) and 40 calendar days (complete written claims). Late payments accrue 12% per year from the 31st day (electronic) or 41st day (written) after receipt until payment issues, paid to the healthcare provider or the policyholder who submitted the claim on top of the reimbursement. Dental applicability: Expressly covered: the statute's definition of "healthcare entity" names dental service corporations alongside insurers and HMOs, and "healthcare services" expressly includes dental. 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.