New Hampshire Market Conduct Examination: Insurers’ SUD Claims Handling Practices During 2015: Exam Findings

On March 2, 2017, the New Hampshire Insurance Department released this document outlining key market conduct examination findings of insurers’ substance use disorder (SUD) claims handling practices. Exams were done on the state's largest insurers: Anthem, Cigna, and Harvard Pilgrimage. The purpose of the exams is to look at a company’s practices in the marketplace.

The document outlines key findings in exam areas of review including:

Delegated Service Agreements,
Provider Networks,
Prior Authorization,
Grievances and Appeals,
Claims and Denial Volumes,
Medication-Assisted Treatment, and
Mental Health Parity . . .