How long does an HMO have to pay a provider claim?
An HMO must make payment to a provider no later than the 45th day after the date the HMO receives the claim with documentation reasonably necessary for the HMO to process the claim. If the provider´s contract with the HMO specifies a shorter (can’t be greater than 45 days) time frame for payment, the HMO must make payment within that time limit.
