Delaware Code
Subchapter I. General Provisions
§ 3370C. Time of submitting claim for reimbursement.

(a) For purposes of this section:

(1) “Carrier” means any entity that provides health insurance in this State. “Carrier” includes an insurance company, health service corporation, health maintenance organization, and any other entity providing a plan of health insurance or health benefits subject to state insurance regulation. “Carrier” also includes any third-party administrator or other entity that adjusts, administers, or settles claims in connection with health benefit plans.
(2) “Carrier” does not mean an entity that provides a plan of health insurance or health benefits designed for issuance to persons eligible for coverage under Titles XVIII, XIX, and XXI of the Social Security Act (42 U.S.C. §§ 1395 et seq., 1396 et seq. and 1397 et seq.), known as Medicare, Medicaid, or any other similar coverage under state or federal governmental plans.
(b) Regardless of network status, a carrier shall permit a provider a minimum of 180 days from the date a covered service is rendered to submit a claim for reimbursement. Any contract between a carrier and provider that prohibits a provider from submitting a claim beyond the minimum time limit required under this section shall not be deemed a violation of this section.

Structure Delaware Code

Delaware Code

Title 18 - Insurance Code

Chapter 33. HEALTH INSURANCE CONTRACTS

Subchapter I. General Provisions

§ 3301. Scope of chapter.

§ 3302. Short title.

§ 3303. Scope, format of policy [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3304. Required provisions; captions; omissions; substitutions.

§ 3305. Entire contract; changes.

§ 3306. Time limit on certain defenses.

§ 3307. Grace period.

§ 3308. Reinstatement.

§ 3309. Notice of claim.

§ 3310. Claim.

§ 3311. Proofs of loss.

§ 3312. Time of payment of claims.

§ 3313. Payment of claims.

§ 3314. Physical examination; autopsy.

§ 3315. Legal actions.

§ 3316. Change of beneficiary.

§ 3317. Optional policy provisions.

§ 3318. Change of occupation.

§ 3319. Misstatement of age.

§ 3320. Overinsurance; all coverages.

§ 3321. Relation of earnings to insurance.

§ 3322. Unpaid premiums.

§ 3323. Conformity with state statutes.

§ 3324. Illegal occupation.

§ 3325. Intoxicants and narcotics.

§ 3326. Renewability.

§ 3327. Order of certain provisions.

§ 3328. Third-party ownership.

§ 3329. Requirements of other jurisdictions.

§ 3330. Policies issued for delivery in another state.

§ 3331. Conforming to statute.

§ 3332. Age limit.

§ 3333. Filing of rates.

§ 3334. Franchise health insurance law.

§ 3335. Newborn children.

§ 3336. Midwife services reimbursement.

§ 3337. Lead poisoning screening reimbursement [For application of this section, see 83 Del. Laws, c. 75, § 9].

§ 3338. Coverage of cancer monitoring test.

§ 3338A. Equal reimbursement for oral and intravenous anticancer medication.

§ 3338B. Coverage of drugs approved for treatment of certain cancers [For application of this section, see 81 Del. Laws, c. 180, §§ 3 and 4].

§ 3339. Refusal to contract.

§ 3340. Child abuse or neglect — Individual coverage.

§ 3341. Newborns and mothers health protection.

§ 3342. Obstetrical and gynecological coverage.

§ 3342A. Contraceptive coverage.

§ 3342B. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective until Jan. 1, 2027].

§ 3342B. Primary care coverage [For application of this section, see 81 Del. Laws, c. 392, § 12] [Effective Jan. 1, 2027].

§ 3343. Insurance coverage for serious mental illness [For application of this section, see 81 Del. Laws, c. 29, § 3; and 82 Del. Laws, c. 199, § 3].

§ 3344. Insurance coverage for diabetes.

§ 3344B. Cost sharing in prescription insulin drugs.

§ 3344C. Coverage for insulin pumps.

§ 3345. Annual pap smear coverage reimbursement.

§ 3346. Colorectal cancer screening.

§ 3347. Required coverage for reconstructive surgery following mastectomies.

§ 3348. Referrals.

§ 3349. Emergency care.

§ 3349A. Required coverage for volunteer ambulance company services.

§ 3350. Prescription medication.

§ 3350B. Copayment or coinsurance for prescription drugs limited [For application of this section, see 82 Del. Laws, c. 57, § 3].

§ 3351. Clinical trials.

§ 3351B. Experimental treatment coverage.

§ 3352. Newborn and infant hearing screening; coverage and reimbursement.

§ 3353. Use of social security numbers on insurance cards.

§ 3354. Supplemental coverage for children of insureds [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3355. Phenylketonuria (PKU) and other inherited metabolic diseases.

§ 3356. Required coverage for scalp hair prosthesis.

§ 3357. Hearing aid coverage.

§ 3358. Dental services for children with a severe disability.

§ 3359. Health insurance; pharmacies; electronic reimbursement.

§ 3359B. Electronic medical (non-pharmaceutical) claims.

§ 3360. Screening of infants and toddlers for developmental delays.

§ 3362. Reimbursement for orthotic and prosthetic services.

§ 3363. Recommended immunizations.

§ 3364. Specialty tier prescription coverage.

§ 3365. School-based health centers.

§ 3366. Autism spectrum disorders coverage.

§ 3367. Payment for emergency medical services.

§ 3368. No lifetime or annual limits [For application of this section, see 79 Del. Laws, c. 99, § 19].

§ 3369. Notification and reasons for cancellation or nonrenewal [For application of this section, see 79 Del. Laws, c. 390, § 8].

§ 3370. Telehealth and telemedicine.

§ 3370A. Network disclosure and transparency.

§ 3370B. Coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

§ 3370C. Time of submitting claim for reimbursement.

§ 3370D. Coverage for epinephrine autoinjectors.

§ 3370E. Annual behavioral health well check [Effective Jan. 1, 2024].