Current as of January 01, 2018 | Updated by FindLaw Staff
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If an insurer restricts or terminates an insured's coverage for the treatment of a condition or complaint and, as a result, the insured becomes liable for payment for all of his or her treatment for the condition or complaint, the insurer shall provide on the explanation of benefits form a detailed explanation of the clinical rationale and of the basis in the policy, plan, or contract or in applicable law for the insurer's restriction or termination of coverage.
Cite this article: FindLaw.com - Wisconsin Statutes Insurance (Ch. 600 to 655) § 632.857. Explanation required for restriction or termination of coverage - last updated January 01, 2018 | https://codes.findlaw.com/wi/insurance-ch-600-to-655/wi-st-632-857/
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