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Wisconsin prompt pay law dental
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Under Wis. Stat. §628.46 (claim classes via §646.31(2)), the Wisconsin payment deadline is 30 days (no format split). Overdue payments bear simple interest at 7.5 percent per year (§628.46(1)). Dental applicability: The section opens broadly — "Unless otherwise provided by law, an insurer shall promptly pay every insurance claim" — but subsection (3) limits it: "This section applies only to the classes of claims enumerated in s. 646.31 (2)." Those classes are residency-based, starting with the claim of a policyholder or insured who is a resident of Wisconsin, and extending to nonresident, property, third-party, assignee, beneficiary, and structured-settlement classes. 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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Source citations
- PROMPTPAY-WISCONSIN-1 Wis. Stat. §628.46 — timely payment of claims (Wisconsin Legislature) (docs.legis.wisconsin.gov)
- PROMPTPAY-WISCONSIN-2 Wis. Stat. §646.31 — the claim classes §628.46 is limited to (docs.legis.wisconsin.gov)