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Ch. 425
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1342
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LAWS OF MARYLAND
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4-101.
(M) "THIRD PARTY" MEANS ANY PERSON WHO COLLECTS PREMIUMS,
ASSUMES FINANCIAL RISKS, PAYS CLAIMS, OR PROVIDES ADMINISTRATIVE
SERVICES RELATING TO ANY:
(1) INSURANCE POLICY;
(2) INSURANCE CONTRACT;
(3) HEALTH PREPAYMENT CONTRACT;
(4) HEALTH CARE PLAN; OR
(5) NONPROFIT HEALTH SERVICE PLAN CONTRACT.
4-314.
(a) Subject to the hearing provisions of § 4-317 of this
subtitle, the Board may deny a general license to practice
dentistry, a limited license to practice dentistry, or a
teacher's license to practice dentistry to any applicant,
reprimand any licensed dentist, place any licensed dentist on
probation, or suspend or revoke the license of any licensed
dentist, if the applicant or licensee:
(17) Is mentally or physically incompetent to
practice dentistry; [or]
(18) Violates any rule or regulation adopted by the
Board; OR
(19) KNOWINGLY SUBMITS TO A THIRD PARTY ANY CLAIM
FORM, BILL, OR STATEMENT WHICH CONTAINS ANY MISLEADING,
DECEPTIVE, FALSE, INCOMPLETE, OR FRAUDULENT REPRESENTATION
ASSERTING A FEE WHICH IS GREATER THAN THE FEE THAT THE DENTIST
USUALLY ACCEPTS AS PAYMENT IN FULL FOR ANY GIVEN DENTAL
APPLIANCE, PROCEDURE, OR SERVICE , ; OR INCLUDING:
(I) ASSERTING A FEE WHICH IS GREATER THAN THE
FEE THAT THE DENTIST USUALLY ACCEPTS AS PAYMENT IN FULL FOR ANY
GIVEN DENTAL APPLIANCE, PROCEDURE, OR SERVICE; OR
(II) UNLESS THE DENTIST DISCLOSES TO THE THIRD
PARTY THAT THE PATIENT'S PAYMENT PORTION WILL NOT BE COLLECTED,
ABROGATING OR FORGIVING
(20) ABROGATES OR FORGIVES THE COPAYMENT PROVISIONS
OF ANY INSURANCE POLICY, INSURANCE CONTRACT, HEALTH PREPAYMENT
CONTRACT, HEALTH CARE PLAN, OR NONPROFIT HEALTH SERVICE PLAN
CONTRACT BY ACCEPTING THE PAYMENT RECEIVED FROM A THIRD PARTY AS
FULL PAYMENT, UNLESS THE DENTIST DISCLOSES TO THE THIRD PARTY
THAT THE PATIENT'S PAYMENT PORTION WILL NOT BE COLLECTED.
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