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PARRIS N. GLENDENING, Governor
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Ch. 248
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16-3A-03.
A PERSON WHO VIOLATES THIS SUBTITLE IS GUILTY OF A MISDEMEANOR AND
ON CONVICTION IS SUBJECT TO A FINE NOT EXCEEDING $100.
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect
January 1, 2001 contingent on the failure of S.B. 899 during the 2000 Session of the
General Assembly. If S.B. 899 is enacted, this Act shall be null and void without the
necessity of further action by the General Assembly.
Approved May 11, 2000.
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CHAPTER 248
(Senate Bill 274)
AN ACT concerning
Health Insurance - Retroactive Denial of Reimbursement to Health Care
Providers
FOR the purpose of clarifying that a carrier may retroactively deny reimbursement to
a health care provider or attempt in any manner to retroactively collect
reimbursement already paid to a health care provider only during a certain
period of time under certain circumstances; authorizing a health care provider
to enforce certain provisions on retroactive denial of reimbursement by filing a
complaint with the Maryland Insurance Administration or by filing a certain
civil action; providing that certain provisions of law related to the retroactive
denial of reimbursement to a health care provider do not apply to adjustments to
reimbursements made as part of an annual contracted reconciliation of a risk
sharing arrangement under an administrative service provider contract;
defining a certain term; providing for the application of this Act; and generally
relating to retroactive denial of reimbursement to health care providers by
carriers under health insurance.
BY repealing and reenacting, with amendments,
Article - Insurance
Section 15-1008
Annotated Code of Maryland
(1997 Volume and 1999 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Insurance
15-1008.
(a) (1) In this section the following words have the meanings indicated.
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