Code of Maine Rules
02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
031 - BUREAU OF INSURANCE
Chapter 825 - PROCEDURES AND STANDARDS FOR OBTAINING A HARDSHIP EXEMPTION FROM SUBMITTING ELECTRONIC HEALTH CLAIMS
Section 031-825-4 - Standards for demonstrating hardship

Current through 2024-38, September 18, 2024

A hardship waiver may be granted upon a finding by the Superintendent that:

A. The health care practitioner or group of health care practitioners has fewer than ten full-time equivalent employees. The method of calculating the number of full-time equivalent employees shall conform to federal law requiring health care practitioners to submit claims electronically if they have more than ten full-time employees; and

B. There are significant technological impediments that make it difficult for the health care practitioner to submit claim forms electronically, the cost of compliance would have a significant impact on the health care practitioner, granting the waiver is warranted based on other considerations or unusual circumstances.

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