KRS 304.17A-702: Claims payment time frames -- Duties of insurer.

(1) Except for claims involving organ transplants, each insurer shall reimburse a

provider for a clean claim or send a written or an electronic notice denying or

contesting the claim within thirty (30) calendar days from the date that the claim is

received by the insurer or any entity that administers or processes claims on behalf

of the insurer. Clean claims involving organ transplants shall be paid, denied, or

contested within sixty (60) calendar days from the date that the claim is received by

the insurer or any entity that administers or processes claims on behalf of the

insurer.

(2) Within the applicable claims payment time frame, an insurer shall:

(a) Pay the total amount of the claim in accordance with any contract between the

insurer and the provider;

(b) Pay the portion of the claim that is not in dispute and notify the provider, in

writing or electronically, of the reasons the remaining portion of the claim will

not be paid; or

(c) Notify the provider, in writing or electronically, of the reasons no par t of the

claim will be paid.