Terms Used In Maine Revised Statutes Title 24 Sec. 2332-E

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • organization: means a corporation or other entity authorized by the superintendent or organized pursuant to this chapter for the purpose of providing nonprofit hospital service plans within the meaning of subsection 1, nonprofit medical service plans within the meaning of subsection 2 and any organization that provides only nonprofit health care plans within the meaning of subsection 3. See Maine Revised Statutes Title 24 Sec. 2301
All nonprofit hospital or medical service organizations and nonprofit health care plans providing payment or reimbursement for diagnosis or treatment of a condition or a complaint by a licensed health care practitioner must accept the current standardized claim form for professional services approved by the Federal Government and submitted electronically. All nonprofit hospital or medical service organizations and nonprofit health care plans 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. A nonprofit hospital or medical service organization or nonprofit health care plan 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 section 2985. [PL 2003, c. 469, Pt. D, §1 (AMD); PL 2003, c. 469, Pt. D, §9 (AFF).]
SECTION HISTORY

PL 1993, c. 477, §D5 (NEW). PL 1993, c. 477, §F1 (AFF). PL 2003, c. 218, §1 (AMD). PL 2003, c. 469, §D1 (AMD). PL 2003, c. 469, §D9 (AFF).