Health Insurance - Appeals and Grievances Process - Reporting Requirements

This Maryland bill requires health insurance carriers to report detailed quarterly data to the Insurance Commissioner regarding the number of members, clean claims, and specific outcomes of grievances and emergency cases. The law also establishes a workgroup composed of representatives from insurance companies and consumers to study the appeals and grievances process, including how carriers use artificial intelligence in these decisions. This group must submit its findings and recommendations to state legislative committees by December 31, 2024, to help improve transparency and consumer understanding of the claims process.