State RegulationsGA specificDifficulty 2/5
A hospital in Atlanta submits an electronic claim to a Georgia insurer. Under the unfair claims settlement practices statute, failing to pay the provider within what period after receipt of the electronic claim is an unfair claims practice?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
Under O.C.G.A. § 33-6-34(15)(B), an insurer must pay providers within 15 working days for electronic claims and within 30 calendar days for paper claims; missing those deadlines is an enumerated unfair claims settlement practice. The distinction matters in disputes over slow payment of hospital and physician bills. Electronic submission buys the provider the shorter working-day clock.
Why the other options are wrong
- B) 30 calendar days is the paper-claim payment deadline under O.C.G.A. § 33-6-34(15)(B); an electronic claim gets the shorter 15-working-day period.
- C) 45 calendar days appears in no Georgia claims-payment deadline and is not a statutory standard.
- D) 90 calendar days is the A&S proof-of-loss period under O.C.G.A. § 33-29-3(b)(7), not a provider payment deadline.
Memory hook
E-claims pay in fifteen working days; paper waits thirty.