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2007 Laws of Maryland
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Ch. 169
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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
5. any other person that provides health benefit plans
subject to regulation by the State.
(ii) "Carrier" includes an entity that arranges a provider panel
for a carrier.
(4) "Enrollee" means a person entitled to health care benefits from a
carrier.
(6) "Provider" means a health care practitioner or group of health care
practitioners licensed, certified, or otherwise authorized by law to provide health care
services.
(O) A CARRIER MAY MOT REQUIRE A PROVIDER THAT DELIVERS
HEALTH CARE SERVICES THROUGH A GROUP PRACTICE OR OTHER HEALTH
CARE ENTITY TO ACCEPT THE REIMBURSEMENT FEE SCHEDULE APPLICABLE
UNDER THE CONTRACT BETWEEN THE GROUP PRACTICE OR OTHER HEALTH
CARE ENTITY AND THE CARRIER FOR HEALTH CARE SERVICES THE PROVIDER
DELIVERS:
(1) TO ENROLLEES OF THE CARRIER THROUGH A SEPARATE
INDIVIDUAL, GROUP, OR OTHER HEALTH CARE PRACTICE ARRANGEMENT; AND
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- 1336 -
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