§ 15-1003. Uniform claims forms for reimbursement of hospital and health care practitioner’s se...
West's Annotated Code of MarylandInsurance
MD Code, Insurance, § 15-1003
§ 15-1003. Uniform claims forms for reimbursement of hospital and health care practitioner’s services
(ii) “Health care practitioner” does not include a physician or other person licensed or certified under this article when the physician or other person is rendering care to a member or subscriber of a health maintenance organization and is compensated by the health maintenance organization for that care on a salaried or capitated basis.
(b) The Commissioner shall adopt by regulation as the uniform claims form for reimbursement of hospital services in the State the uniform claims form adopted by the National Uniform Billing Committee and approved by the Centers for Medicare and Medicaid Services for Hospital Payments under Title XVIII of the Social Security Act.1
Regulations relating to uniform claims form for reimbursement of health care practitioner’s services
(c) The Commissioner shall adopt by regulation a uniform claims form for reimbursement of health care practitioners' services.
(d)(1) The Commissioner shall adopt by regulation:
Credits
Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997. Amended by Acts 2000, c. 410, § 1, eff. June 1, 2000; Acts 2005, c. 25, § 8, eff. April 12, 2005.
Formerly Art. 48A, § 490P.
Footnotes
Aug. 14, 1935, ch. 531, 49 Stat. 620, codified at 42 U.S.C.A. § 301 et seq.
Pub.L. 104-191, Aug. 21, 1996, 110 Stat. 1936.
MD Code, Insurance, § 15-1003, MD INSURANCE § 15-1003
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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