LD 1611
pg. 52
Page 51 of 73 PUBLIC Law Chapter 469 Page 53 of 73
Download Chapter Text
LR 2137
Item 1

 
Administrators providing payment or reimbursement for
diagnosis or treatment of a condition or a complaint by a
licensed physician, chiropractor health care practitioner or
licensed hospital shall accept the current standardized claim
form for professional or facility services, as applicable,
approved by the Federal Government and submitted electronically.
An administrator may not be required to accept a claim submitted
on a form other than the applicable form specified in this
section and may not be required to accept a claim that is not
submitted electronically, except from a health care practitioner
who is exempt pursuant to Title 24, section 2985.

 
Sec. D-6. 24-A MRSA §2753, as amended by PL 2003, c. 218, §6, is
further amended to read:

 
§2753. Standardized claim forms

 
All insurers providing individual medical expense insurance on
an expense-incurred basis providing payment or reimbursement for
diagnosis or treatment of a condition or a complaint by a
licensed physician or chiropractor health care practitioner must
accept the current standardized claim form for professional
services approved by the Federal Government and submitted
electronically. All insurers providing individual medical
expense insurance on an expense-incurred basis providing payment
or reimbursement for diagnosis or treatment of a condition or a
complaint by a licensed hospital must accept the current
standardized claim form for professional or facility services, as
applicable, approved by the Federal Government and submitted
electronically. An insurer may not be required to accept a claim
submitted on a form other than the applicable form specified in
this section and may not be required to accept a claim that is
not submitted electronically, except from a health care
practitioner who is exempt pursuant to Title 24, section 2985.

 
Sec. D-7. 24-A MRSA §2823-B, as amended by PL 2003, c. 218, §7, is
further amended to read:

 
§2823-B. Standardized claim forms

 
All insurers providing group medical expense insurance on an
expense-incurred basis providing payment or reimbursement for
diagnosis or treatment of a condition or a complaint by a
licensed physician or chiropractor health care practitioner must
accept the current standardized claim form for professional
services approved by the Federal Government and submitted
electronically. All insurers providing group medical expense
insurance on an expense-incurred basis providing payment or
reimbursement for diagnosis or treatment of a condition or a
complaint by a licensed hospital must accept the current


Page 51 of 73 Top of Page Page 53 of 73
Related Pages
  Search Bill Text Legislative Information
Bill Directory Search
Bill
Status
Session Information
119th Legislature Bills Maine Legislature

Office of Legislative Information
100 State House Station
Augusta, ME 04333
voice: (207) 287-1692
fax: (207) 287-1580
tty: (207) 287-6826
Word Viewer for Windows Disclaimer