Rhode Island H7942 mandates insurance companies to justify denials of healthcare services or procedures presumed medically necessary.

Rhode Island H7942 amends the Benefit Determination and Utilization Review Act by adding a provision that presumes any healthcare service or procedure authorized by a provider is medically necessary. It places the burden on insurance companies to provide justification for any denial of such services or procedures. This act takes effect upon passage.

Rhode Island H7942 mandates insurance companies to justify denials of healthcare services or procedures presumed medically necessary.

Rhode Island H7942 amends the Benefit Determination and Utilization Review Act by adding a provision that presumes any healthcare service or procedure authorized by a provider is medically necessary. It places the burden on insurance companies to provide justification for any denial of such services or procedures. This act takes effect upon passage.