Maine LD1906 mandates transparency and accountability in insurance transactions by requiring administrators and pharmacy benefits managers to provide.
Maine LD1906 requires administrators and pharmacy benefits managers to provide data on high-cost claims within business days of a request. This data must include itemized billing statements and medical records associated with the claim. A "high-cost claim" is defined as any claim related to an individual provided health coverage by a plan sponsor in which the aggregate for an episode of care exceeds a certain amount.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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