Ch. 35

1997 LAWS OF MARYLAND

In item (1) of this subsection, the former phrase "covered under the policy or
contract", which modified health care services, is deleted as surplusage.
Similarly, in item (2) of this subsection, the former phrase "covered under the
contract", which modified health care services, is deleted.

In item (2) of this subsection, the reference to a "third party" administrator is
added for clarity.

Defined terms: "Insured" § 14-201
"Insurer" § 1-101
"Policy" § 1-101
"Preferential basis" § 14-201
"Preferred provider" § 14-201
"Subscriber" § 14-201

(G) PROVIDER.

"PROVIDER" MEANS A PHYSICIAN, HOSPITAL, OR OTHER PERSON THAT IS
LICENSED OR OTHERWISE AUTHORIZED TO PROVIDE HEALTH CARE SERVICES.

REVISOR'S NOTE: This subsection is new language derived without substantive
change from former Art. 48A, § 655(h).

The former phrase "within the scope of the license or authorization" is
deleted as implicit in the reference to a person that is "licensed or otherwise
authorized" to provide health care services.

Defined term: "Person" § 1-101

(H) PROVIDER SERVICE CONTRACT.

"PROVIDER SERVICE CONTRACT" MEANS A CONTRACT BETWEEN A PROVIDER
AND AN INSURER, EMPLOYER, THIRD PARTY ADMINISTRATOR, OR OTHER ENTITY,
UNDER WHICH THE PROVIDER AGREES TO PROVIDE HEALTH CARE SERVICES ON A
PREFERENTIAL BASIS UNDER SPECIFIC PREFERRED PROVIDER INSURANCE
POLICIES.

REVISOR'S NOTE: This subsection is new language derived without substantive
change from former Art. 48A, § 655(i).

The reference to a "third party" administrator is added for clarity.

The former reference to providing health care services "to insureds or
subscribers" is deleted as unnecessary in light of the use of the defined term
"preferred provider insurance policy".

Defined terms: "Insurer" § 1-101
"Preferential basis" § 14-201
"Preferred provider insurance policy" § 14-201
"Provider" § 14-201

(I) SUBSCRIBER.

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