PARRIS N. GLENDENING, Governor

Ch. 10

470U.

(f) (4) When necessary to determine eligibility for benefits or for determination
of coverage, an insurer may obtain additional information from its insured, the employer
of the insured, or any other non-provider third party, provided that any delays in paying
a uniform claim resulting from obtaining this information are subject to the provisions of
[subsection (b)(2)(ii)2] SUBSECTION (B)(2)(II) of this section. .

DRAFTER'S NOTE:

Error: Overly specific internal cross-reference in Article 48A, § 470U(f)(4).

Occurred: Ch. 613, Acts of 1992.

470AA.

(c)     (2) A child wellness services package required under this subsection shall
cover at least:

(v) Laboratory tests considered necessary by the physician as indicated
by the services provided under [subparagraphs] SUBPARAGRAPH (i), (ii), (iii), or (iv) of
this paragraph.

(d)     Except as provided in subsection (e) of this section, a hospital or major
MEDICAL insurance policy upon notification of the pregnancy of the insured, shall:

(1)     Encourage and assist the insured, prior to the delivery date, to select and
contact a primary care provider for the expected newborn prior to delivery; and

(2)     Provide the insured, prior to the delivery date, with information on
postpartum home visits for the mother and the child that includes the names of providers
that are available for postpartum home visits.

DRAFTER'S NOTE:

Error: Stylistic error and omitted word in the lead-in to Article 48A, §
470AA(c)(2)(v) and (d).

Occurred: Ch. 681, Acts of 1994 and Ch. 503, Acts of 1995.
477D.

Every insurer under this subtitle has the responsibility to set up record keeping
procedures so as to permit review for [over utilization] OVERUTILIZATION and abuse of
the use of hospital, health and medical services that may result from the actions or
activities of their policy or certificate holders, or the providers of hospital, health and
medical services to those persons, or both.

DRAFTER'S NOTE:

Error: Grammatical error in Article 48A, § 477D.

Occurred: Ch. 808, Acts of 1973.

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