CHAPTER 255
(House Bill 572)
AN ACT concerning
Health Benefit Plans - Health-Care Practitioners Fee Schedules and
Coding Guidelines
Patient Protection Act
FOR the purpose of requiring certain persons that offer health benefit plans to
provide certain written information relating to fee schedules and coding
guidelines to health-care practitioners at certain times; and generally relating to
health benefit plans and health care practitioners health insurance carriers to
provide a copy of certain reimbursement schedules, coding guidelines, and the
methodology used to determine any bonuses or other incentive-based
compensation under certain circumstances; altering the circumstances under
which certain health insurance carriers may provide bonuses or other
incentive-based compensation to a health care practitioner; authorizing the
Maryland Insurance Administration to adopt certain regulations; and generally
relating to compensation of health care practitioners by health insurance
carriers.
BY repealing and reenacting, with amendments,
Article - Insurance
Section 15-113
Annotated Code of Maryland
(1997 Volume and 1998 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Insurance
15-113.
(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 health maintenance organization;
(iv) a dental plan organization; or
(v) any other person that provides health benefit plans subject to
regulation by the State.
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