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Billing News · Sunday, August 16, 2026

Rhode Island's prior authorization ban begins real-world test

Rhode Island's new law prohibiting prior authorization for most services is now in effect. This state-level experiment challenges the national payer practice and could reshape administrative workflows if it proves sustainable. Watch for payer response; some may tighten retrospective reviews or alter network contracts in the state. The law's impact on claim submission timelines and denial rates will inform similar legislative efforts elsewhere.

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