ROBERT L. EHRLICH, JR., Governor                             Ch. 415

persuasion on certain issues in certain hearings held by the Insurance
Commissioner or the Commissioner's designee on certain health insurance
decisions; defining a certain term; and generally relating to hearings on health
insurance decisions.

BY repealing and reenacting, without amendments,
Article - Insurance

Section 15-10A-01(a), 15-10A-04, 15-10D-01(a), and 15-10D-02(i)
Annotated Code of Maryland
(2002 Replacement Volume and 2003 Supplement)

BY adding to

Article - Insurance

Section 15-10A-01(e) and 15-10D-01(g)

Annotated Code of Maryland

(2002 Replacement Volume and 2003 Supplement)

BY repealing and reenacting, with amendments,
Article - Insurance

Section 15-123(j)(1), 15-1005(d), (e), and (f)(1), 15-10A-01, 15-10A-02,

15-10A-03, 15-10A-04, 15-10B-01, 15-10B-06, 15-10B-08,

15-10B-09.1, 15-10D-01, and 15-10D-02

Section 15-10A-01(e) through (1), 15-10A-03(e), 15-10D-01(g) through (j), and
15-10D-02(h)

Annotated Code of Maryland

(2002 Replacement Volume and 2003 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:

Article - Insurance

15-123.

(j) (1) A carrier's [coverage] decision on an emerging medical or surgical
treatment shall be in compliance with [§ 15-10B-07] TITLE 15, SUBTITLES 10A AND
10B of this article[, when being appealed by an enrollee].

15-1005.

(d) (1) An insurer, nonprofit health service plan, or health maintenance
organization shall permit a provider a minimum of 180 days from the date a covered
service is rendered to submit a claim for reimbursement for the service.

(2) If an insurer, nonprofit health service plan, or health maintenance
organization wholly or partially denies a claim for reimbursement, the insurer,
nonprofit health service plan, or health maintenance organization shall permit a
provider a minimum of [90 working days] 180 DAYS after [the date] THE PROVIDER
RECEIVES NOTICE of denial of the claim to appeal the denial.

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