The bill, signed into law by Democratic Gov. Janet Mills, will require medical professionals to conduct medical reviews. Specifically, any appeal received by a health insurer in the state must be handled by a licensed provider who is board-certified in the specialty or a similar specialty related to the medical conditions, procedure or treatment in the claim.
“An appeal of a carrier’s adverse healthcare treatment decision must be conducted by a clinical peer,” according to the law, cited by ThinkAdvisor.
The law takes effect Sept. 17.
Read more here.
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