Maine Code § 24-2985

Billing for health care services
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A health care practitioner, as defined in section 2502, subsection 1-A, who directly bills for health
care services must use the current standardized claim form for professional services approved by the
Federal Government and, after October 16, 2003, must submit claims in electronic data format to a
carrier, as defined in Title 24-A, section 4301-A, subsection 3, that accepts claims in an electronic
format. A health care practitioner or group of health care practitioners with fewer than 10 full-time-
equivalent health care practitioners and other employees is exempt from the requirement to submit
claims in electronic data format until October 16, 2005. Beginning October 16, 2005, a health care
practitioner or group of health care practitioners with fewer than 10 full-time-equivalent health care
practitioners and other employees may apply to the Superintendent of Insurance for a continued
exemption from the requirement to submit claims in electronic data format based upon hardship. The
Superintendent of Insurance shall adopt rules relating to the process for a hardship exemption and the
standard for determining whether a practitioner has demonstrated hardship. Rules adopted pursuant to
this section are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A. [PL 2003,
c. 469, Pt. D, §2 (RPR); PL 2003, c. 469, Pt. D, §9 (AFF).]

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