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§ 14-104. Statement of principal claims practices

West's Annotated Code of MarylandInsurance

West's Annotated Code of Maryland
Insurance (Refs & Annos)
Title 14. Entities that Act as Health Insurers
Subtitle 1. Nonprofit Health Service Plans (Refs & Annos)
Part I. Definitions; General Provisions
MD Code, Insurance, § 14-104
§ 14-104. Statement of principal claims practices
Currentness
In general
(a) Each nonprofit health service plan that provides hospital benefits shall furnish a statement of the plan's principal claims practices as part of the certificate form or booklet describing the coverage to be afforded.
Statement requirements
(b) The statement shall include practices for payment for:
(1) surgical procedures performed by two or more surgeons;
(2) services provided in-area by nonparticipating providers; and
(3) services provided out-of-area by affiliated plans and affiliated providers.

Credits

Added by Acts 1997, c. 35, § 2, eff. Oct. 1, 1997.
Formerly Art. 48A, § 354P.
MD Code, Insurance, § 14-104, MD INSURANCE § 14-104
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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