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1694
LAWS OF MARYLAND
Ch. 604
(8) When—providing—information—requested by
another provider of medical care for the sole purpose of
treating the person on whom the record was maintained; or
(9) When providing information to a third party
payor solely for billing purposes; or
(10) WHEN PROVIDING INFORMATION TO A THIRD PARTY
PAYOR WHICH DOES NOT REVEAL SPECIFIC MEDICAL INFORMATION AND
IS REQUIRED FOR AN AUDIT OF THE BILLING MADE BY THE PROVIDER
TO THE PAYOR; OR
[(10)] (11) When providing information to a
nonprofit health service plan or a Blue Cross or Blue Shield
plan for the purpose of coordinating benefit payments—under
more than one sickness and accident, dental, or hospital and
medical insurance policy other than an individual policy.
Article 48A — Insurance Code
354-O.
(b) A nonprofit health service plan OR A BLUE CROSS OR
BLUE SHIELD PLAN may not reveal specific medical information
contained in a subscriber's medical records to any person
unless:
(1) It is authorized by the subscriber; or
(2) It is providing information requested by or
in furtherance of the purpose of a medical review committee,
accreditation board, or commission, or in response to legal
process; or
(3) It is furnishing information to another
nonprofit health service plan or Blue Cross or Blue Shield
plan OR AN INSURANCE COMPANY for the purpose of coordinating
benefit payments under more than one sickness and accident,
dental, or hospital medical contract; or
(4) It is providing information to governmental
agencies in the performance of their lawful duties as
authorized by an act of the General Assembly or the United
States Congress; or
(5) When providing information at the request of
a researcher for the purpose of medical and health care
research pursuant to a protocol approved by an institutional
review board[.]; OR
(6) IT IS FURNISHING INFORMATION PURSUANT TO A
COST CONTAINMENT CONTRACTUAL OBLIGATION FOR THE PURPOSE OF
VERIFYING THAT THE BENEFITS PAID BY THE NONPROFIT HEALTH
SERVICE PLAN WERE CONTRACTUALLY PROPER, OR IT IS PROVIDING
INFORMATION TO A THIRD PARTY PAYOR WHICH DOES NOT REVEAL
SPECIFIC MEDICAL INFORMATION AND IS REQUIRED FOR AN AUDIT OF
THE BILLING MADE BY THE PLAN TO THE PAYOR.
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