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.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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