Maine Firm Billing Policies

State:
Multi-State
Control #:
US-L03045C
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Word; 
PDF; 
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Description

This document is an explanation of the firm billing policies to be sent to the firm's clients. It states the hourly rates for senior attorneys, associates and paralegals. It also explains the services for which the client will be charged, the costs of hiring outside contractors (court reporters, process servers, etc.), payment of the firm invoices, and al other matters related to billing.

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FAQ

When a provider bills you for the difference between the provider's charge and the allowed amount. For example, if the provider's charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30.

Professional Paper Claim Form (CMS-1500)

You're never required to give up your protection from balance billing. You also aren't required to get care out-of-network. You can choose a provider or facility in your plan's network. The State of Maine provides protection to patients from abusive billing practices and unnecessary patient fees.

Medicare providers (like doctors and hospitals) cannot bill dual eligible beneficiaries for Medicare cost sharing. This is known as balance billing, or ?improper billing,? and is illegal under both federal and state law. This means dual eligible beneficiaries cannot be charged for co-pays, co-insurance, or deductibles.

In early 2020, Colorado, Texas, New Mexico and Washington, began enforcing balance billing laws. Some states also have a limited approach towards balance billing, including Arizona, Delaware, Indiana, Iowa, Maine, Massachusetts, Minnesota, Mississippi, Missouri, North Carolina, Pennsylvania, Rhode Island and Vermont.

An Act To Limit Late Medical Billing to 6 Months Received by the Secretary of the Senate on January 21, 2021. Referred to the Committee on Health Coverage, Insurance and Financial Services pursuant to Joint Rule 308.2 and ordered printed. Presented by Senator POULIOT of Kennebec.

§1718-G. 4 A health care entity, as defined in section 1718-B, subsection 1, paragraph B, is 5 prohibited from charging a patient for health care services it provided when a billing 6 statement has not been provided to the patient within 6 months of the date health care 7 services were rendered to the patient.

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Maine Firm Billing Policies