Minnesota § 62A.59 COVERAGE OF SERVICE; PRIOR AUTHORIZATION

Minnesota Statutes

§ 62A.59 — COVERAGE OF SERVICE; PRIOR AUTHORIZATION

Minnesota § 62A.59

PartINSURANCE

Ch. 62AACCIDENT AND HEALTH INSURANCE

This text of Minnesota § 62A.59 (COVERAGE OF SERVICE; PRIOR AUTHORIZATION) is published on Counsel Stack Legal Research, covering Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Minn. Stat. § 62A.59 (2026).

Text

Subdivision 1.Service for which prior authorization not required.
A health carrier must not retrospectively deny or limit coverage of a health care service for which prior authorization was not required by the health carrier, unless there is evidence that the health care service was provided based on fraud or misinformation.

Subd. 2.Service for which prior authorization required but not obtained.
A health carrier must not deny or limit coverage of a health care service which the enrollee has already received solely on the basis of lack of prior authorization if the service would otherwise have been covered had the prior authorization been obtained.

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Subdivision 1.Service for which prior authorization not required.
A health carrier must not retrospectively deny or limit coverage of a health care service for which prior authorization was not required by the health carrier, unless there is evidence that the health care service was provided based on fraud or misinformation.

Subd. 2.Service for which prior authorization required but not obtained.
A health carrier must not deny or limit coverage of a health care service which the enrollee has already received solely on the basis of lack of prior authorization if the service would otherwise have been covered had the prior authorization been obtained.