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Session Laws, 1999
Volume 796, Page 3854   View pdf image
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(g) In developing the medical care data base, the Commission shall consult
with[:

(1) Representatives of] REPRESENTATIVES OF THE HEALTH SERVICES
COST REVIEW COMMISSION, health care practitioners, payors, and hospitals[; and

(2) Representatives of the Health Services Cost Review Commission and
the Health Resources Planning Commission to ensure that the medical care data base
is compatible with, may be merged with, and does not duplicate information collected
by the Health Services Cost Review Commission hospital discharge data base, or data
collected by the Health Resources Planning Commission as authorized in § 19-107 of
this title] TO ENSURE THAT THE MEDICAL CARE DATA BASE IS COMPATIBLE WITH,
MAY BE MERGED WITH, AND DOES NOT DUPLICATE INFORMATION COLLECTED BY
THE HEALTH SERVICES COST REVIEW COMMISSION.

(h) Repealed.

(i) The Commission, in consultation with the Insurance Commissioner,
payors, health care practitioners, and hospitals, may adopt by regulation standards
for the electronic submission of data and submission and transfer of the uniform
claims forms established under § 15-1003 of the Insurance Article.

[19-1508.] 19-135.

(a) (1) In order to more efficiently establish a medical care data base under
[§ 19-1507] § 19-134 of this subtitle, the Commission shall establish standards for the
operation of one or more medical care electronic claims clearinghouses in Maryland
and may license those clearinghouses meeting those standards.

(2) In adopting regulations under this subsection, the Commission shall
consider appropriate national standards.

(3) The Commission, may limit the number of licensed claims
clearinghouses to assure maximum efficiency and cost effectiveness.

(4) The Commission, by regulation, may charge a reasonable licensing
fee to operate a licensed claims clearinghouse.

(5) Health care practitioners in Maryland, as designated by the
Commission, shall submit, and payors of health care services in Maryland as
designated by the Commission shall receive claims for payment and any other
information reasonably related to the medical care data base electronically in a
standard format as required by the Commission whether by means of a claims
clearinghouse or other method approved by the Commission.

(6) The Commission shall establish reasonable deadlines for the phasing
in of electronic transmittal of claims from those health care practitioners designated
under paragraph (5) of this subsection.

(7) As designated by the Commission, payors of health care services in
Maryland and Medicaid and Medicare shall transmit explanations of benefits and any
other information reasonably related to the medical care data base electronically in a

 

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Session Laws, 1999
Volume 796, Page 3854   View pdf image
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