Maryland HB917 regulates retroactive denial of reimbursement by health insurance carriers, requiring written statements and training for providers.

Maryland HB917 modifies health insurance practices by restricting when carriers can retroactively deny reimbursement to health care providers. The bill mandates that carriers provide written statements detailing the basis for denials and supporting documents. It prohibits retroactive denials based on service outcomes or without prior conversation with the provider. Carriers must also develop training plans for providers on reimbursement protocols and billing standards. The changes apply to all policies issued, delivered, or renewed in Maryland on or after January 1, 2027.

Maryland HB917 regulates retroactive denial of reimbursement by health insurance carriers, requiring written statements and training for providers.

Maryland HB917 modifies health insurance practices by restricting when carriers can retroactively deny reimbursement to health care providers. The bill mandates that carriers provide written statements detailing the basis for denials and supporting documents. It prohibits retroactive denials based on service outcomes or without prior conversation with the provider. Carriers must also develop training plans for providers on reimbursement protocols and billing standards. The changes apply to all policies issued, delivered, or renewed in Maryland on or after January 1, 2027.