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Minnesota · Through 2025 Minnesota Statutes

Minn. Stat. § 62A.59: COVERAGE OF SERVICE; PRIOR AUTHORIZATION.

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Where this section sits in the code
  1. INSURANCE
  2. CHAPTER 62A. ACCIDENT AND HEALTH INSURANCE
  3. LONG-TERM CARE POLICIES

Subdivision 1. Service for which prior authorization not required.

A health carrier must not retrospectively deny or limit coverage of a health care service for which prior authorization was not required by the health carrier, unless there is evidence that the health care service was provided based on fraud or misinformation.

Subd. 2. Service for which prior authorization required but not obtained.

A health carrier must not deny or limit coverage of a health care service which the enrollee has already received solely on the basis of lack of prior authorization if the service would otherwise have been covered had the prior authorization been obtained.

Collected 2026-09-02T22:10:28Z. Source file · JSON

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