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Session Laws, 1995
Volume 793, Page 3299   View pdf image
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PARRIS N. GLENDENING, Governor                                 Ch. 577

470BB.

(C) EVERY INSURER 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.

470FF.

(A) (1) IF AN INSURER REQUIRES ITS INSUREDS TO HAVE A REFERRAL TO
RECEIVE LABORATORY SERVICES IN WRITING, THE INSURER 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) AN INSURER 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) (1) (A) IF AN INSURER REQUIRES ITS INSUREDS TO HAVE A
REFERRAL TO RECEIVE CONSULTATION SERVICES IN WRITING, THE INSURER 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) AN INSURER 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.

470U.

(H) (1) EVERY INSURER SHALL USE THE UNIFORM PROVIDER VOUCHER
FORM ADOPTED BY THE COMMISSION UNDER
§ 490BB OF THIS ARTICLE AS THE SOLE
INSTRUMENT FOR PROVIDING THE EXPLANATION OF PAYMENT FOR MEDICAL
BENEFITS TO A PROVIDER.

(2) AN INSURER MAY NOT;

(I) MODIFY THE UNIFORM PROVIDER VOUCHER FORM; OR

- 3299 -

 

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Session Laws, 1995
Volume 793, Page 3299   View pdf image
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