™Your Policy Risk Impact Agent
84 chapters · 1,755 sections in this title.
24-A M.R.S. § 2771 Review entities
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1. Licensure. A person, partnership or corporation, other than an insurer, nonprofit service organization, health maintenance organization, preferred provider organization or employee of those exempt organizations, that performs medical utilization review services on behalf of co…
24-A M.R.S. § 2772 Minimum standards
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A utilization review program of the applicant must meet the following minimum standards. [PL 1989, c. 556, Pt. C, §2 (NEW).] 1. Notification of adverse decisions. Notification of an adverse decision by the utilization review agent must be provided to the insured or other party de…
24-A M.R.S. § 2773 Utilization review services
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As used in this chapter, unless the context indicates otherwise, "utilization review services" or "medical utilization review services" means a program or process by which a person, partnership or corporation, on behalf of an insurer, nonprofit service organization, 3rd-party adm…
24-A M.R.S. § 2774 Enforcement
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The following provisions govern enforcement of this chapter. [PL 1989, c. 556, Pt. C, §2 (NEW).] 1. Periodic reviews. The superintendent may conduct periodic reviews of the operations of the entities licensed pursuant to this chapter to ensure that they continue to meet the minim…