§ 14-205.3. Assignment of benefits and reimbursement of nonpreferred providers
West's Annotated Code of MarylandInsuranceEffective: July 1, 2011
Effective: July 1, 2011
MD Code, Insurance, § 14-205.3
§ 14-205.3. Assignment of benefits and reimbursement of nonpreferred providers
(a) This section does not apply to on-call physicians or hospital-based physicians.
(b) An insurer may not:
(c) If an insured has not provided an assignment of benefits, the insurer shall include the following information with the payment to the insured for health care services rendered by the nonpreferred provider who is a physician:
(d) If a physician who is a nonpreferred provider seeks an assignment of benefits from an insured, the physician shall provide the following information to the insured, prior to performing a health care service:
(e) A physician who is a nonpreferred provider shall submit the disclosure form developed by the Commissioner under subsection (f) of this section to document to the insurer the assignment of benefits by an insured.
(f) The Commissioner shall develop disclosure forms to implement the requirements under subsections (c) and (d) of this section.
(g) Notwithstanding the provisions of subsection (b) of this section, an insurer may refuse to directly reimburse a nonpreferred provider under an assignment of benefits if:
Credits
Added by Acts 2010, c. 537, § 1, eff. July 1, 2011.
MD Code, Insurance, § 14-205.3, MD INSURANCE § 14-205.3
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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