Ch. 378

1996 LAWS OF MARYLAND

Article 48A—Insurance Code

490FF.

(A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(2) "CARRIER" MEANS:

(I) AN INSURER;

(II) A NONPROFIT HEALTH SERVICE PLAN;

(III) A DENTAL PLAN ORGANIZATION; OR

(IV) ANY PERSON OR ENTITY ACTING AS A THIRD PARTY
ADMINISTRATOR.

(3)     "CONTRACT" MEANS ANY WRITTEN AGREEMENT BETWEEN A
PROVIDER AND A CARRIER FOR THE PROVIDER TO RENDER HEALTH CARE
SERVICES TO ENROLLEES OF THE CARRIER.             

(4)     "DIAGNOSTIC SERVICES" MEANS ANY MEDICAL OR SURGICAL
SERVICE OR PROCEDURE THAT ALLOWS A PROVIDER TO IDENTIFY OR DIAGNOSE A
HUMAN DISEASE OR DISORDER.

(5)     "ENROLLEE" MEANS ANY PERSON ENTITLED TO HEALTH CARE
BENEFITS FROM A CARRIER.

(6) "HEALTH CARE SERVICES" MEANS A HEALTH OR MEDICAL CARE
PROCEDURE OR SERVICE RENDERED BY A PROVIDER THAT:

(I) PROVIDES TESTING, DIAGNOSIS, OR TREATMENT OF A HUMAN
DISEASE OR DYSFUNCTION; OR

(II) DISPENSES DRUGS, MEDICAL DEVICES, MEDICAL APPLIANCES,
OR MEDICAL GOODS FOR THE TREATMENT OF A HUMAN DISEASE OR
DYSFUNCTION.

(7) (I) "PROVIDER" MEANS A PERSON OR ENTITY LICENSED,
CERTIFIED, OR OTHERWISE AUTHORIZED UNDER THE HEALTH OCCUPATIONS

ARTICLE OR THE HEALTH - GENERAL ARTICLE TO PROVIDE HEALTH CARE

SERVICES.

(II) "PROVIDER" INCLUDES:

1. A HEALTH CARE FACILITY;

2. PHARMACY;

3. PROFESSIONAL SERVICES CORPORATION;

4. PARTNERSHIP;

5. LIMITED LIABILITY COMPANY;

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