Ch. 332

1997 LAWS OF MARYLAND

(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 OR SUBSCRIBER 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. A PHARMACY;

3. A PROFESSIONAL SERVICES CORPORATION;

4. A PARTNERSHIP;

5. A LIMITED LIABILITY COMPANY;

6. A PROFESSIONAL OFFICE; OR

7. ANY OTHER ENTITY LICENSED OR AUTHORIZED BY LAW
TO PROVIDE OR DELIVER PROFESSIONAL HEALTH CARE SERVICES THROUGH OR
ON BEHALF OF A PROVIDER.

(8) "THERAPEUTIC SERVICES" MEANS ANY MEDICAL OR SURGICAL
SERVICE OR PROCEDURE THAT A PROVIDER CAN USE TO TREAT A HUMAN DISEASE
OR DISORDER.

(B) THIS SECTION APPLIES TO ANY CARRIER THAT PROVIDES HEALTH CARE
SERVICES TO ENROLLEES OR OTHERWISE MAKES HEALTH CARE SERVICES
AVAILABLE TO ENROLLEES THROUGH CONTRACTS WITH PROVIDERS.

(C) THE SECTION DOES NOT:

(1) APPLY TO ANY COSMETIC OR MEDICALLY UNNECESSARY SERVICE
OR PROCEDURE THAT TYPICALLY WOULD BE EXCLUDED FROM COVERAGE BY ANY
CARRIER THAT ISSUES OR DELIVERS CONTRACTS OR POLICIES OF HEALTH
INSURANCE IN THE STATE; AND OR

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