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§ 15-131. Pharmacies required to submit request and receive payments electronically

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 15. Health Insurance
Subtitle 1. General Provisions (Refs & Annos)
MD Code, Insurance, § 15-131
§ 15-131. Pharmacies required to submit request and receive payments electronically
Currentness
Application of section
(a) This section applies to:
(1) insurers and nonprofit health service plans that provide, directly or through a pharmacy benefit manager, coverage for prescription drugs under health insurance policies or contracts that are issued or delivered in the State; and
(2) health maintenance organizations that provide, directly or through a pharmacy benefit manager, coverage for prescription drugs under contracts that are issued or delivered in the State.
Pharmacies required to submit request and receive payments electronically
(b) If an entity subject to this section requires a pharmacy to submit a request for payment electronically, then the pharmacy or designated agent may choose to be reimbursed electronically, and in that event the entity shall reimburse the pharmacy electronically, and shall provide the appropriate payment data electronically.
Processing fees
(c) An entity subject to this section may not impose a processing fee for the electronic reimbursement or for providing payment data electronically.

Credits

Added by Acts 2005, c. 372, § 1, eff. Oct. 1, 2006.
MD Code, Insurance, § 15-131, MD INSURANCE § 15-131
Current through legislation effective through April 9, 2023, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
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