PARRIS N. GLENDENING, Governor

Ch. 577

(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 TO BE 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.

490BB.

(A) SUBJECT TO THE PROVISIONS OF SUBSECTION (B) OF THIS SECTION, THE
COMMISSIONER SHALL ADOPT BY REGULATION:

(1) A UNIFORM COORDINATION OF BENEFITS FORM FOR USE BY
HEALTH MAINTENANCE ORGANIZATIONS, INSURERS, AND NONPROFIT HEALTH
SERVICE PLANS THAT ISSUE POLICIES CONTAINING NONDUPLICATION PROVISIONS
OR PROVISIONS TO COORDINATE COVERAGE WITH OTHER HEALTH INSURANCE
POLICIES UNDER WHICH THE SUBSCRIBER OR THE INSURED MAY MAKE A CLAIM;

(2)      A SUMMARY EXPLANATION OF BENEFITS FORM FOR USE BY
INSURERS AND NONPROFIT HEALTH SERVICE PLANS TO PROVIDE A SUMMARY
EXPLANATION OF BENEFITS TO INSURED INDIVIDUALS;

(1) A UNIFORM PROVIDER VOUCHER FORM FOR USE AS THE SOLE
INSTRUMENT FOR PROVIDING AN EXPLANATION OF PAYMENT OF MEDICAL
BENEFITS BY HEALTH MAINTENANCE ORGANIZATIONS, INSURERS, AND NONPROFIT
HEALTH SERVICE PLANS TO A PROVIDER;

(3) (2) (1) A UNIFORM LABORATORY REFERRAL FORM FOR USE BY
HEALTH MAINTENANCE ORGANIZATIONS, INSURERS, AND NONPROFIT HEALTH
SERVICE PLANS REQUIRING SUBSCRIBERS OR INSUREDS TO HAVE A REFERRAL TO
RECEIVE LABORATORY SERVICES IN WRITING; AND

(4)     (3) (2) A UNIFORM CONSULTATION REFERRAL FORM FOR USE
BY HEALTH MAINTENANCE ORGANIZATIONS, INSURERS, AND NONPROFIT HEALTH
SERVICE PLANS REQUIRING SUBSCRIBERS OR INSUREDS TO HAVE A REFERRAL TO
RECEIVE CONSULTATION SERVICES IN WRITING.

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