{"data":{"id":"us-me/24-a-m.r.s.-2749-b","jurisdiction":"us-me","citation":"24-A M.R.S. §2749-B","heading":"Penalty for noncompliance with utilization review programs","body":"A health insurance policy issued or renewed in this State 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.","path":["TITLE 24-A: MAINE INSURANCE CODE","CHAPTER 33: HEALTH INSURANCE CONTRACTS"],"source_url":"https://legislature.maine.gov/statutes/24-A/title24-Asec2749-B.html","current_through":"October 1, 2025","vintage":"","retrieved_at":"2026-09-04T15:12:33Z","sha256":"c08bdd83f5a2cbbd81c856d0dbea86d3e30ba8594facf799f7640f4ade45806e","source_id":"us-me","stale":false,"prev":"us-me/24-a-m.r.s.-2749-a","next":"us-me/24-a-m.r.s.-2749-c"},"notice":"GroundRules: Original legal text. Not legal advice."}