New Hampshire HB1406 mandates health carriers to maintain records on adverse determinations and the use of artificial intelligence in utilization.

New Hampshire HB1406 amends the Managed Care Law to require health carriers to maintain detailed records on adverse determinations, including those affecting provider coding decisions. These records must detail the information submitted, the clinical guidelines applied, and whether artificial intelligence was used. The bill also mandates that adverse determinations, such as payment reductions and down coding, must be made by a qualified health care provider.

New Hampshire HB1406 mandates health carriers to maintain records on adverse determinations and the use of artificial intelligence in utilization.

New Hampshire HB1406 amends the Managed Care Law to require health carriers to maintain detailed records on adverse determinations, including those affecting provider coding decisions. These records must detail the information submitted, the clinical guidelines applied, and whether artificial intelligence was used. The bill also mandates that adverse determinations, such as payment reductions and down coding, must be made by a qualified health care provider.