MI HB6002

Prohibits insurers and the Michigan Assigned Claims Association from using third-party companies to review or evaluate matters during appeals to the Department of Insurance regarding utilization review determinations.

Applies to appeals concerning claims that physicians, hospitals, clinics, or other providers overutilized or rendered inappropriate treatment, products, or services under the no-fault personal protection insurance chapter.

Maintains existing provisions allowing insurers to request written explanations from providers for treatment that exceeds usual standards in duration, frequency, or scope based on medically accepted standards.

Requires the Department of Insurance to establish utilization review criteria and procedures for handling records, requests for explanations, and appeals through administrative rules.