| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 24-A MRSA §2185-A is enacted to read: |
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| | | §2185-A.__Assignment of benefits |
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| | | 1.__Definitions.__As used in this section, unless the context | | otherwise indicates, the following terms have the following | | meanings. |
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| | | A.__"Assignment of benefits" means a written agreement | | between a health care provider and an insured, signed by the | | insured or the insured's legal guardian, that permits the | | health care provider to be paid directly by an insurer for | | benefits payable to the insured for health care services | | provided to the insured by the health care provider. |
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| | | B.__"Health care provider" has the meaning set forth in | | section 2204, subsection 13. |
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| | | C.__"Insured" means a person covered for health care | | services provided to that person under an insurance policy, | | health maintenance organization plan or subscriber contract | | or certificate of a nonprofit hospital or medical service | | organization. |
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| | | D.__"Insurer" means any insurance company, health | | maintenance organization or nonprofit hospital or medical | | service organization authorized to issue health care | | policies, plans, contracts or certificates in the State. |
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| | | 2.__Payment to provider.__A health care provider who receives | | an assignment of benefits shall provide the insurer with written | | notice of the assignment.__Upon receiving a claim from the health | | care provider for health care services provided to the insured | | and covered by the assignment of benefits of which the insurer | | has received notice under this subsection, the insurer shall make | | payment pursuant to the claim directly to the health care | | provider.__The insurer shall make this payment even if the | | insurer has paid the insured for health care services covered by | | the claim if the payment to the insured was made after the | | insurer received notice of the assignment of benefits as required | | by this subsection. |
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| | | 3.__Nonrevocation of assignment.__An assignment of benefits | | may not be revoked or amended without the written permission of | | the health care provider to whom the benefits are assigned. |
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