PARRIS N. GLENDENING, Governor                             Ch. 476

(1)     (i) To the provider's authorized employees, agents, medical staff,
medical students, or consultants for the sole purpose of offering, providing, evaluating, or
seeking payment for health care to patients or recipients by the provider;

(ii) To the provider's legal counsel regarding only the information in
the medical record that relates to the subject matter of the representation; or

(iii) To any provider's insurer or legal counsel, or the authorized
employees or agents of a provider's insurer or legal counsel, for the sole purpose of
handling a potential or actual claim against any provider;

(2)     If the person given access to the medical record signs an
acknowledgment of the duty under this Act not to redisclose any patient identifying
information, to a person for:

(i) Educational or research purposes, subject to the applicable
requirements of an institutional review board;

(ii) Evaluation and management of health care delivery systems; or

(iii) Accreditation of a facility by professional standard setting entities;

(3)     Subject to the additional limitations for a medical record developed
primarily in connection with the provision of mental health services in § 4-307 of this
subtitle, to a government agency performing its lawful duties as authorized by an act of
the Maryland General Assembly or the United States Congress;

(4)     Subject to the additional limitations for a medical record developed
primarily in connection with the provision of mental health services in § 4-307 of this
subtitle, to another health care provider for the sole purpose of treating the patient or
recipient on whom the medical record is kept;

(5)     If a claim has been or may be filed by, or with the authorization of a
patient or recipient on behalf of the patient or recipient, for covered insureds, covered
beneficiaries, or enrolled recipients only, to third party payors and their agents, if the
payors or agents have met the applicable provisions of Title 19, Subtitle 13 of the Health
- General Article, including nonprofit health service plans, health maintenance
organizations, fiscal intermediaries and carriers, the Department of Health and Mental
Hygiene and its agents, the United States Department of Health and Human Services and
its agents, or any other person obligated by contract or law to pay for the health care
rendered for the sole purposes of:

(i) Submitting a bill to the third party payor;

(ii) Reasonable prospective, concurrent, or retrospective utilization
review or predetermination of benefit coverage;

(iii) Review, audit, and investigation of a specific claim for payment of
benefits; or

(iv) Coordinating benefit payments in accordance with the provisions
of Article 48A of the Code under more than 1 sickness and accident, dental, or hospital
and medical insurance policy;

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