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Rhode Island prompt pay law dental

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 submitting provider or policyholder 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. Self-funded (ERISA) plans are outside this statute — federal ERISA deadlines apply to them instead.

Last verified
2026-08-29
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Source citations

  • PROMPTPAY-RHODE-ISLAND-1 R.I. Gen. Laws §27-18-61 — prompt processing of claims (webserver.rilegislature.gov)
  • PROMPTPAY-RHODE-ISLAND-2 R.I. Gen. Laws §27-20.1-19 — dental service corporations, post-payment audits (webserver.rilegislature.gov)

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