2510
LAWS OF MARYLAND
Ch. 248
Department. NOTWITHSTANDING ANY PROVISION OF THE CONTRACT OR
CERTIFICATE, THE PLAN SHALL NOT DENY OR REFUSE REIMBURSEMENT
TO THE DEPARTMENT BECAUSE OF THE MANNER, FORM, OR DATE OF
CLAIM AS LONG AS THE DEPARTMENT, WITHIN 2 YEARS FOLLOWING
THE DATE OF TREATMENT FOR WHICH REIMBURSEMENT IS SOUGHT,
FURNISHES TO THE PLAN SUFFICIENT INFORMATION ON WHICH THE
PLAN'S LIABILITY CAN BE DETERMINED.
470N.
If the Department of Health and Mental Hygiene notifies
an insurer that services to a person covered under a health
insurance policy issued, delivered, or renewed in Maryland
has been paid for or provided by the Department, the insurer
shall reimburse the Department for the cost of the services
regardless of any provision in the policy which would
require payment to the policyholder or any other payee.
Benefits payable to the Department are limited to those
benefits available under [all terms and conditions of]
the policy for the services paid for or provided. If, prior
to receiving notice from the Department, the insurer, acting
in good faith, has paid the benefits available under the
policy in accordance with its terms, the provisions of this
section may not require payment to the Department.
NOTWITHSTANDING ANY PROVISION OF THE CONTRACT OR POLICY OF
INSURANCE, THE INSURER SHALL NOT DENY OR REFUSE
REIMBURSEMENT TO THE DEPARTMENT BECAUSE OF THE MANNER, FORM,
OR DATE OF CLAIM AS LONG AS THE DEPARTMENT, WITHIN 2 YEARS
FOLLOWING THE DATE OF TREATMENT FOR WHICH REIMBURSEMENT IS
SOUGHT, FURNISHES TO THE INSURER SUFFICIENT INFORMATION ON
WHICH THE INSURER'S LIABILITY CAN BE DETERMINED.
477U.
If the Department of Health and Mental Hygiene notifies
an insurer that services to a person covered under a health
insurance policy issued, delivered, or renewed in Maryland
has been paid for or provided by the Department, the insurer
shall reimburse the Department for the cost of the services
regardless of any provision in the policy which would
require payment to the policyholder or any other payee.
Benefits payable to the Department are limited to those
benefits available under [all terms and conditions of]
the policy for the services paid for or provided. If, prior
to receiving notice from the Department, the insurer, acting
in good faith, has paid the benefits available under the
policy in accordance with its terms, the provisions of this
section may not require payment to the Department.
NOTWITHSTANDING ANY PROVISION OF THE CONTRACT OR POLICY OF
INSURANCE, THE INSURER SHALL NOT DENY OR REFUSE
REIMBURSEMENT TO THE DEPARTMENT BECAUSE OF THE MANNER, FORM,
OR DATE OF CLAIM AS LONG AS THE DEPARTMENT, WITHIN 2 YEARS
FOLLOWING THE DATE OF TREATMENT FOR WHICH REIMBURSEMENT IS
SOUGHT, FURNISHES TO THE INSURER SUFFICIENT INFORMATION ON
WHICH THE INSURER'S LIABILITY CAN BE DETERMINED.
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