Massachusetts S770 aims to prevent insurers from inappropriately denying claims for medically necessary services.

Massachusetts S770 amends existing law to ensure insurers cannot deny payment for medically necessary services unless there is evidence of fraud. Insurers must follow specific procedures when recouping payments, including providing written notice and allowing for a retrospective review. The bill also limits the time insurers can recoup payments to within twelve months of the original payment. The commissioner of insurance is tasked with creating regulations to enforce these provisions within 90 days of the bill's effective date.

Massachusetts S770 aims to prevent insurers from inappropriately denying claims for medically necessary services.

Massachusetts S770 amends existing law to ensure insurers cannot deny payment for medically necessary services unless there is evidence of fraud. Insurers must follow specific procedures when recouping payments, including providing written notice and allowing for a retrospective review. The bill also limits the time insurers can recoup payments to within twelve months of the original payment. The commissioner of insurance is tasked with creating regulations to enforce these provisions within 90 days of the bill's effective date.