Scanning sources…acquiring signal · establishing uplink
Side-by-side comparison of every payer / plan rule against the statutory floor it's bound to (via governed_byedges). Red rows flag a contradiction — the payer's contractual value is shorter (timely filing / appeal) or longer (prompt pay) than what the statute allows.
| Payer / plan | Regulation | Jurisdiction | Timely filing payer / floor | Appeal window payer / floor | Prompt pay payer / floor |
|---|---|---|---|---|---|
| Molina Healthcare, Inc. health_payer | 29 U.S.C. §1001 et seq. Employee Retirement Income Security Act (ERISA) | federal/US | 180d / — | 117d / 180d! | — / — |
| UnitedHealthcare Group Medicare Advantage (PPO) (H2001-865) ma_mapd | 42 U.S.C. §1395 et seq. Social Security Act Title XVIII (Medicare) | federal/US | 90d / — | 90d / 120d! | — / — |
| U.S. Office of Personnel Management health_payer | 29 U.S.C. §1001 et seq. Employee Retirement Income Security Act (ERISA) | federal/US | 60d / — | 30d / 180d! | — / — |
| U.S. Office of Personnel Management health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | 60d / — | 30d / 180d! | — / — |
| Molina Healthcare, Inc. health_payer | 42 U.S.C. §300gg et seq. Public Health Service Act — Title XXVII (Group Market) | federal/US | 180d / — | 117d / 180d! | — / — |
| Texas Medicaid health_payer | TX Medicaid Provider Manual — General Billing Texas — Medicaid Provider Manual: General Billing | state/US-TX | 95d / 365d! | 14d / — | — / — |
| Texas Medicaid health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | 95d / — | 14d / 180d! | — / — |
| BCBS Association health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | 180d / — | 50d / 180d! | — / — |
| Molina Healthcare, Inc. health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | 180d / — | 117d / 180d! | — / — |
| Texas Medicaid & Healthcare Partnership health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | 95d / — | 120d / 180d! | — / — |
| Texas Medicaid & Healthcare Partnership health_payer | TX Medicaid Provider Manual — General Billing Texas — Medicaid Provider Manual: General Billing | state/US-TX | 95d / 365d! | 120d / — | — / — |
| Elevance Health, Inc. health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | — / — | 90d / 180d! | — / — |
| New York Medicaid health_payer | Pub. L. 111-148; 42 U.S.C. §18001 et seq. Patient Protection and Affordable Care Act (ACA) | federal/US | 90d / — | 60d / 180d! | — / — |
| New York Medicaid health_payer | NY Medicaid Provider Manual — General Billing New York — Medicaid Provider Manual: General Billing | state/US-NY | 90d / 365d! | 60d / — | — / — |
| Highmark Health health_payer | 42 U.S.C. §1395 et seq. Social Security Act Title XVIII (Medicare) | federal/US | 180d / — | 60d / 120d! | — / — |
| BCBS Association health_payer | 29 U.S.C. §1001 et seq. Employee Retirement Income Security Act (ERISA) | federal/US | 180d / — | 50d / 180d! | — / — |
| BCBS Association health_payer | 42 U.S.C. §300gg et seq. Public Health Service Act — Title XXVII (Group Market) | federal/US | 180d / — | 50d / 180d! | — / — |