Me. Stat. tit. 24-A § 2847-D
Current through 131st (2023-2024) Legislature Chapter 684
A policy or certificate issued or renewed after April 8, 1994 may not contain a provision that permits, upon retroactive review and confirmation of medical necessity, the imposition of a penalty of more than $500 for failure to provide notification under a utilization review program. This section does not limit the right of insurers to deny a claim when appropriate prospective or retroactive review concludes that services or treatment rendered were not medically necessary. [1995, c. 332, Pt. M, §9(AMD).]
24-A M.R.S. § 2847-D