PassSprint
Free Readiness Test

One rule, 2 ways the exam asks it. Same knowledge point, different phrasing — work through all of them, because the exam rarely reuses the wording.

State RegulationsGA specificDifficulty 2/5

A Georgia medical provider submits an electronic claim to an insurer in a situation governed by the surprise billing provisions of Georgia's unfair claims article. If the insurer fails to pay, an unfair claims settlement practice has occurred when payment is not made within:

Select an option to reveal the answer and the full 3-part explanation — free, no signup.

Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

Under O.C.G.A. § 33-6-34(15)(B), failing to pay a provider within 15 working days for an electronic claim, or within 30 calendar days for a paper claim, is an unfair claims settlement practice in Georgia. Electronic claims get the shorter, working-day clock, and the Insurance Commissioner enforces the standard through the unfair claims article.

Why the other options are wrong

  • A) The electronic-claim deadline is measured in working days, not calendar days, under O.C.G.A. § 33-6-34(15)(B).
  • B) Thirty is the calendar-day figure and it applies to paper claims; electronic claims must be paid within 15 working days under O.C.G.A. § 33-6-34(15)(B).
  • D) Ninety days has no support in the unfair claims article; O.C.G.A. § 33-6-34(15)(B) sets the electronic-claim deadline at 15 working days.

Memory hook

Electronic = 15 working days; paper = 30 calendar days — screens are fast, paper is slow.

Spotted an error in this question? Report it →
State RegulationsGA specificDifficulty 2/5

A Georgia health care provider submits an electronic claim for covered services to an insurer. Under O.C.G.A. § 33-6-34(15)(B), the insurer's failure to pay the provider within what period makes the delay an unfair claims settlement practice?

Select an option to reveal the answer and the full 3-part explanation — free, no signup.

Answer & full 3-part explanation (select an option above, or peek)

Why C is correct

Under O.C.G.A. § 33-6-34(15)(B), failing to pay a provider within 15 working days for electronic claims — or within 30 calendar days for paper claims — is an enumerated unfair claims settlement practice. Electronic claims clear faster, so the statute gives them the shorter working-day window, and the Insurance Commissioner enforces both deadlines as part of the claims-practices article.

Why the other options are wrong

  • A) 30 calendar days is the correct deadline for paper claims, not for electronic claims under § 33-6-34(15)(B).
  • B) 15 calendar days is the claim-forms delivery window under § 33-6-34(11); the electronic-claim payment rule counts working days.
  • D) 20 working days is not a period in the provider-payment rule; electronic claims must be paid within 15 working days.

Memory hook

Electronic = 15 working days; paper = 30 calendar days.

Spotted an error in this question? Report it →

Related Practice Questions