{"data":{"id":"us-mn/minn.-stat.-62m.18","jurisdiction":"us-mn","citation":"Minn. Stat. § 62M.18","heading":"ANNUAL POSTING ON WEBSITE; PRIOR AUTHORIZATIONS.","body":"(a) By April 1, 2022, and each April 1 thereafter, a health plan company must post on the health plan company's public website the following data for the immediately preceding calendar year for each commercial product:\n(1) the number of prior authorization requests for which an authorization was issued;\n(2) the number of prior authorization requests for which an adverse determination was issued and sorted by: (i) health care service; (ii) whether the adverse determination was appealed; and (iii) whether the adverse determination was upheld or reversed on appeal;\n(3) the number of prior authorization requests that were submitted electronically and not by facsimile or email or other method pursuant to section 62J.497; and\n(4) the reasons for prior authorization denial including but not limited to:\n(i) patient did not meet prior authorization criteria;\n(ii) incomplete information submitted by the provider to the utilization review organization;\n(iii) change in treatment program; and\n(iv) the patient is no longer covered by the plan.\n(b) All information posted under this section must be written in easily understandable language.","path":["INSURANCE","CHAPTER 62M. UTILIZATION REVIEW OF HEALTH CARE"],"source_url":"https://www.revisor.mn.gov/statutes/cite/62M.18","current_through":"2025 Minnesota Statutes","vintage":"","retrieved_at":"2026-09-02T22:10:28Z","sha256":"cb5278f59fa4c38559bfec1941ba95335410f1e2a05caa725ec2c442ec94bde5","source_id":"us-mn","stale":false,"prev":"us-mn/minn.-stat.-62m.17","next":"us-mn/minn.-stat.-62m.19"},"notice":"GroundRules: Original legal text. Not legal advice."}