Maine Medical Utilization Review

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Medical Utilization Review | PFR Insurance - Maine

https://www.maine.gov/pfr/insurance/licensees/other-regulated-entities/medical-utilization-review

Medical Utilization Review. The Maine Bureau of Insurance provides on this page all of the information necessary to license a Medical Utilization Review entity. …

Medical Utilization Renewal Information | PFR Insurance

https://www.maine.gov/pfr/insurance/licensees/other-regulated-entities/medical-utilization-review/medical-utilization-renewal-information

Maine's Utilization Review licenses are continuous, meaning the license renews annually every April 1st. Renewal notices go out prior to April 1st asking if the UR wishes to renew …

Medical Utilization Review | PFR Insurance

https://www11.maine.gov/pfr/insurance/licensees/other-regulated-entities/medical-utilization-review

The Maine Bureau of Insurance provides on this page all of the information necessary to license a Medical Utilization Review entity. Contact Us if you have questions or are …

Title 39-A, §210: Medical utilization review - Maine …

https://legislature.maine.gov/statutes/39-A/title39-Asec210.html

For purposes of this section, "utilization review" means the initial prospective, concurrent or retrospective evaluation by an insurance carrier, self-insurer or group self-insurer of the …

§210. Medical utilization review - Maine Legislature

https://legislature.maine.gov/statutes/39-A/title39-Asec210.pdf

3. Review. Utilization review must be performed by an insurance carrier, self-insurer or group self-insurer pursuant to a system established by the board that identifies the range …

Medical Utilization Review License Application - Maine

https://www.maine.gov/pfr/insurance/sites/maine.gov.pfr.insurance/files/inline-files/mur_application.pdf

Maine's Utilization Review licenses are continuous, meaning the license renews annually every April 1st. Renewal notices go out prior to April 1st asking if the UR wishes to renew …

Title 24-A, §2773: Utilization review services

https://legislature.maine.gov/statutes/24-A/title24-Asec2773.html

Chapter 34: LICENSURE OF MEDICAL UTILIZATION REVIEW ENTITIES. §2774. §2773. Utilization review services. As used in this chapter, unless the context indicates …

Title 24-A, §4304: Utilization review - legislature.maine.gov

https://legislature.maine.gov/statutes/24-A/title24-Asec4304.html

Requirements for medical review or utilization review practices. A carrier must appoint a medical director who is responsible for reviewing and approving the carrier's policies …

24-A Maine Revised Statutes §2772 (2022) Minimum …

https://law.justia.com/codes/maine/2022/title-24-a/chapter-34/section-2772/

3-A. Medical utilization review criteria. The licensee must have written medical utilization review criteria to be employed in the review process. The criteria must be available for …

Title 24-A, §2772: Minimum standards - Maine Legislature

https://legislature.maine.gov/statutes/24-A/title24-Asec2772.html

A medical utilization review program may not recommend or implement a penalty of more than $500 for failure to provide notification. This subsection does not limit the right of …

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