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S.B. 800
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PARRIS N. GLENDENING, Governor
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This bill requires the Insurance Commissioner to adopt regulations defining a "clean
claim" as it relates to information submitted on a uniform claims form by a health
care provider to a carrier.
House Bill 762, which was passed by the General Assembly and signed by me on May
11, 2000, accomplishes the same purpose. Therefore, it is not necessary for me to sign
Senate Bill 800.
Sincerely,
Parris N. Glendening
Governor
Senate Bill No. 800
AN ACT concerning
Health Insurance - Uniform Claims Forms Clean Claims
FOR the purpose of consolidating certain provisions relating to acceptance of uniform
claims forms for reimbursement by insurers, nonprofit health service plans, and
health maintenance organizations; requiring the Insurance Commissioner to
adopt certain regulations relating to certain uniform claims forms for
reimbursement of hospitals and health care practitioners by insurers, nonprofit
health service plans, and health maintenance organizations; specifying certain
contents of certain regulations; requiring certain uniform claims forms to be
properly completed in accordance with certain regulations; altering a certain
penalty for certain violations relating to uniform claims forms; establishing
certain penalties; providing that insurers, nonprofit health service plans, and
health maintenance organizations shall pay or refuse to reimburse certain clean
claims, and otherwise respond on receipt of a claim, in a certain manner and
within certain time periods under certain circumstances; requiring insurers,
nonprofit health service plans, and health maintenance organizations to provide
certain providers with a manual or other document containing certain
information; specifying certain requirements and limitations of certain
delegation agreements between insurers, nonprofit health service plans, and
health maintenance organizations and certain entities; defining a certain term;
providing that certain regulations shall be adopted published for proposal on or
before a certain date; and generally relating to uniform claims forms for
reimbursement under health insurance.
BY repealing and reenacting, with amendments,
Article - Health - General
Section 19-706(kk)
Annotated Code of Maryland
(1996 Replacement Volume and 1999 Supplement)
BY repealing
Article - Health - General
Section 19-712.3
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