Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 365 - STANDARDS FOR INDEPENDENT DISPUTE RESOLUTION OF EMERGENCY MEDICAL SERVICE BILLS
Section 031-365-2 - Applicability and Scope

A. A carrier, including a participating self-insured health plan.

B. A patient who is eligible to initiate IDR under 22 M.R.S. §1718-D.

C. A provider that has rendered emergency services to an eligible patient, or that has rendered emergency services on an out-of-network basis to a patient covered by a carrier's health plan and is unable in good faith to negotiate agreement with the carrier on the payment amount within 30 calendar days after the carrier has given the provider notice as required in paragraph 6(1)(C).

A. A surprise bill for emergency services;

B. Any other bill for covered emergency services rendered by an out-of-network provider to a person covered by an insured or self-insured health plan; and

C. A bill totaling $750 or more received by an uninsured person for emergency health services if the total bill for the single visit is $750 or more regardless of the number of providers included in the bill.