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2007 Laws of Maryland
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Ch. 167
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(1) (I) a claim application form; [and]
(2) AN AUTHORIZATION FOR THE SIMULTANEOUS RELEASE OF
ALL RELEVANT MEDICAL INFORMATION; AND
[(2)] (3) (II) if the covered employee was attended by a physician chosen
by the covered employee, the report of the physician.
(2) (I) A CLAIM APPLICATION FORM FILED UNDER PARAGRAPH
(1) OF THIS SUBSECTION SHALL INCLUDE AN AUTHORIZATION BY THE
CLAIMANT FOR THE RELEASE, TO THE CLAIMANT'S ATTORNEY, THE CLAIMANT'S
EMPLOYER, AND THE INSURER OF THE CLAIMANT'S EMPLOYER, OR AN AGENT
OF THE CLAIMANT'S ATTORNEY, THE CLAIMANT'S EMPLOYER. OR THE INSURER
OF THE CLAIMANT'S EMPLOYER, OF MEDICAL INFORMATION THAT IS RELEVANT
TO:
1. THE MEMBER OF THE BODY THAT WAS INJURED,
AS INDICATED ON THE CLAIM APPLICATION FORM; AND
2. THE DESCRIPTION OF HOW THE ACCIDENTAL
PERSONAL INJURY OCCURRED, AS INDICATED ON THE CLAIM APPLICATION
FORM.
(II) AN AUTHORIZATION UNDER SUBPARAGRAPH (I) OF THIS
PARAGRAPH:
1. INCLUDES THE RELEASE OF INFORMATION
RELATING TO THE HISTORY, FINDINGS, OFFICE AND PATIENT CHARTS, FILES,
EXAMINATION AND PROGRESS NOTES, AND PHYSICAL EVIDENCE:
2. IS EFFECTIVE FOR 1 YEAR FROM THE DATE THE
CLAIM IS FILED: AND
3. DOES NOT RESTRICT THE REDISCLOSURE OF
MEDICAL INFORMATION OR WRITTEN MATERIAL RELATING TO THE
AUTHORIZATION TO A MEDICAL MANAGER. HEALTH CARE PROFESSIONAL. OR
CERTIFIED REHABILITATION PRACTITIONER.
(b) (1) Unless excused by the Commission under paragraph (2) of this
subsection, failure to file a claim in accordance with subsection (a) of this section bars
a claim under this title.
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- 1328 -
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