Michigan SB0547 mandates compliance with decisions on appeals for utilization reviews in no-fault insurance.
Michigan SB0547 amends the no-fault insurance law to require insurers to comply with decisions made by the Department of Insurance and Financial Services on appeals related to utilization reviews. The bill establishes criteria for utilization reviews, outlines procedures for acquiring records and requesting explanations for treatments, and details the process for appealing determinations. It also specifies that physicians, hospitals, clinics, or other providers who knowingly submit false or misleading records commit a fraudulent insurance act.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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