Insurance: no-fault; utilization reviews; require compliance with decision on appeal. Amends sec. 3157a of 1956 PA 218 (MCL 500.3157a).

This bill requires doctors, hospitals, and other healthcare providers to follow appeals decisions made by the state regarding insurance coverage disputes. It mandates that these providers submit necessary records to insurers and must comply with any rulings issued by the department of insurance after an appeal process. Additionally, the bill gives insurers the authority to request written explanations for treatments that exceed standard medical norms and establishes specific rules for reviewing the quality and necessity of care. If an insurer determines that care was inappropriate or overutilized, the provider can appeal that decision to the state department, which must then issue a binding decision.