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Martin O'Malley, Governor
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Ch. 168
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Health Insurance - Health Care Providers - Reimbursement by Carriers and
Charges
FOR the purpose of prohibiting certain carriers from requiring certain health care
providers that deliver provide health care services through a certain group
practice or other health care entity facility to be considered participating
providers or to accept the a certain reimbursement fee schedule applicable
under the contract between the group practice or other health care entity and
the carrier for certain health care services delivered by the health-care provider
under certain circumstances; requiring a certain provider to give certain notice
to an enrollee; and generally relating to reimbursement of health care providers
by carriers health care provider reimbursement and charges.
BY repealing and reenacting, without amendments,
Article — Insurance
Section 15-112(a)(1), (3), (4), and (6)
Annotated Code of Maryland
(2006 Replacement Volume and 2006 Supplement)
BY adding to
Article - Insurance
Section 15-112(o)
Annotated Code of Maryland
(2006 Replacement Volume and 2006 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Insurance
15-112.
(a) (1) In this section the following words have the meanings indicated.
(3) (i) "Carrier" means:
1. an insurer;
2. a nonprofit health service plan;
3. a health maintenance organization;
4. a dental plan organization; or
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- 1333 -
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