{"data":{"id":"us-me/24-a-m.r.s.-2847-d","jurisdiction":"us-me","citation":"24-A M.R.S. §2847-D","heading":"Penalty for noncompliance with utilization review programs","body":"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.","path":["TITLE 24-A: MAINE INSURANCE CODE","CHAPTER 35: GROUP AND BLANKET HEALTH INSURANCE"],"source_url":"https://legislature.maine.gov/statutes/24-A/title24-Asec2847-D.html","current_through":"October 1, 2025","vintage":"","retrieved_at":"2026-09-04T15:12:33Z","sha256":"ccfad58e1e47b49ad954470933d7da1c2c2e58a709fc35ca8d59124e8fee2118","source_id":"us-me","stale":false,"prev":"us-me/24-a-m.r.s.-2847-c","next":"us-me/24-a-m.r.s.-2847-e"},"notice":"GroundRules: Original legal text. Not legal advice."}