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Maine.gov > PFR Home > Insurance Regulation > Consumer Information > All Brochures > Maine External Review Summary
Maine External Review Summary
External Reviews became available for health insurance enrollees in Maine in 2000. The first request for an external review was received by the Bureau of Insurance in August, 2000. Years 2005 through 2013 are summarized by carrier in Figure 1.
In 2013, the CHCD received 36 requests for external review and processed 26 that were qualified; 24 were completed, as two were withdrawn by the consumers prior to hearing. Of the 24 completed requests, 13 were upheld (54%), and 11 were overturned (46%).
Figure 1 illustrates the number of external reviews overturned, upheld, or withdrawn prior to the review (either by the carrier or the consumer), for the years 2005 – 2013.
Last Updated: May 19, 2014
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