Guam § 9904 - Billing of Patients Allowed.

§ 9904. Billing of Patients Allowed.

(a) No patient receiving care from a Health Care Provider, may be billed for the same Clean claim, or

portion thereof, submitted for payment to a Health Plan Administrator, unless the provider has elected to

terminate that person’s efforts to collect interest penalties as provided for in § 9902(g) of this Article, or a

period of ninety (90) days has lapsed from the date of submission of a Clean Claim for payment. This

provision shall not apply to any Clean Claim or portion of a Clean Claim that is due and payable by the

patient as a benefit limitation, deductible, co-payment, non-covered benefit, patient share, or personal

comfort or convenience item.

COL 2025-04-22

(b) A Health Care Provider may not charge more than twelve percent (12%) interest per annum to any

patient as a penalty for their failure to make prompt payment of a Clean Claim, or portion thereof, for which

the patient is responsible for paying.

(c) A Health Care Provider may not charge both the Health Plan Administrator and the patient interest

penalties for the same Clean Claim, or portion thereof, submitted for payment to either party.