(a)(1) In this section the following words have the meanings indicated.
(2) “Third party payor” means any person that administers or provides reimbursement for hospital benefits on an expense incurred basis including:
(i) A health maintenance organization issued a certificate of authority in accordance with Subtitle 7 of this title;
(ii) A health insurer or nonprofit health service plan authorized to offer health insurance policies or contracts in this State in accordance with the Insurance Article; or
(iii) A third party administrator registered under the Insurance Article.
(3) “Uniform claims form” means the claim or billing form for reimbursement of hospital services adopted by the Insurance Commissioner under § 15-1003 of the Insurance Article.
Use of uniform claims form required
(b) When submitting a claim or bill for reimbursement to a third party payor, a hospital shall use the uniform claims form.
Claim forms submitted
(c) The uniform claims form submitted under this section:
(1) Shall be properly completed; and
(2) May be submitted by electronic transfer.
Fines and penalties
(d) The Secretary may impose a penalty not to exceed $500 on any hospital that violates the provisions of this section.
Credits
Added by Acts 1992, c. 613, § 1, eff. Oct. 1, 1992. Amended by Acts 1997, c. 70, § 4, eff. Oct. 1, 1997.
MD Code, Health - General, § 19-350.1, MD HEALTH GEN § 19-350.1
Current through legislation effective through May 9, 2024, from the 2024 Regular Session of the General Assembly. Some statute sections may be more current, see credits for details.
