PARRIS N. GLENDENING, Governor                                 Ch. 577

Article - Health Occupations

14-509.

A PHYSICIAN SHALL USE THE UNIFORM LABORATORY REFERRAL FORM
ADOPTED BY THE INSURANCE COMMISSIONER UNDER ARTICLE 48A, § 490BB OF THE
CODE.

Article 48A - Insurance Code

354LL.

(C) EVERY NONPROFIT HEALTH SERVICE PLAN SHALL USE THE UNIFORM
SUMMARY EXPLANATION OF BENEFITS FORM ADOPTED BY THE COMMISSIONER
UNDER § 490BB OF THIS ARTICLE AS THE SOLE INSTRUMENT FOR PROVIDING THE
SUMMARY EXPLANATION OF BENEFITS TO AN INSURED UNDER THIS SECTION.

354PP.

(A) (1) IF A NONPROFIT HEALTH SERVICE PLAN REQUIRES ITS INSUREDS TO
HAVE A REFERRAL TO RECEIVE LABORATORY SERVICES IN WRITING, THE
NONPROFIT HEALTH SERVICE PLAN SHALL USE THE UNIFORM LABORATORY
REFERRAL FORM ADOPTED BY THE COMMISSIONER UNDER § 490BB OF THIS
ARTICLE AS THE SOLE INSTRUMENT FOR REFERRALS FOR LABORATORY SERVICES.

(2) A NONPROFIT HEALTH SERVICE PLAN MAY NOT IMPOSE AS A
CONDITION OF COVERAGE ANY REQUIREMENT TO:

(I) MODIFY THE UNIFORM LABORATORY REFERRAL FORM; OR

(II) SUBMIT ADDITIONAL LABORATORY REFERRAL FORMS.

(3) THE UNIFORM LABORATORY REFERRAL FORM SHALL BE
PROPERLY COMPLETED BY THE HEALTH CARE PROVIDER REFERRING THE
INSURED FOR LABORATORY SERVICES.

(B) (A) IF A NONPROFIT HEALTH SERVICE PLAN. REQUIRES ITS
INSUREDS TO HAVE A REFERRAL TO RECEIVE CONSULTATION SERVICES IN
WRITING, THE NONPROFIT HEALTH SERVICE PLAN SHALL USE THE UNIFORM
CONSULTATION REFERRAL FORM ADOPTED BY THE COMMISSIONER UNDER § 490BB
OF THIS ARTICLE AS THE SOLE INSTRUMENT FOR REFERRALS FOR CONSULTATION
SERVICES.

(2) (B) A NONPROFIT HEALTH SERVICE PLAN MAY NOT IMPOSE AS A
CONDITION OF COVERAGE ANY REQUIREMENT TO:

(I) (1) MODIFY THE UNIFORM CONSULTATION REFERRAL
FORM; OR

(II) (2) SUBMIT ADDITIONAL CONSULTATION REFERRAL FORMS.

(3) (C) THE UNIFORM CONSULTATION REFERRAL FORM SHALL BE
PROPERLY COMPLETED BY THE HEALTH CARE PROVIDER REFERRING THE
INSURED FOR CONSULTATION SERVICES.

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