Minnesota SF3712 modifies standards for utilization review performance, creates a cause of action for wrongful denials of prior authorizations, and.

Minnesota SF3712 amends the utilization review performance standards by requiring utilization review organizations to contact the enrollee's attending health care professional before issuing an adverse determination. It creates a cause of action for enrollees injured by wrongful denials of prior authorizations, allowing them to seek damages. The bill also authorizes the commissioner of commerce to impose fines on organizations with high rates of reversed adverse determinations.

Minnesota SF3712 modifies standards for utilization review performance, creates a cause of action for wrongful denials of prior authorizations, and.

Minnesota SF3712 amends the utilization review performance standards by requiring utilization review organizations to contact the enrollee's attending health care professional before issuing an adverse determination. It creates a cause of action for enrollees injured by wrongful denials of prior authorizations, allowing them to seek damages. The bill also authorizes the commissioner of commerce to impose fines on organizations with high rates of reversed adverse determinations.