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Session Laws, 2007
Volume 803, Page 4303   View pdf image
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Martin O'Malley, Governor
S.B. 557
(3) ACTS AS A CREDENTIALING INTERMEDIARY FOR THAT
CARRIER FOR HEALTH CARE PRACTITIONERS THAT: (I) PARTICIPATE ON THE CARRIER'S PROVIDER PANEL; AND (II) HAVE PRIVILEGES AT THE HOSPITAL OR ACADEMIC
HEALTH MEDICAL CENTER. 15-112.1. (a) (1) In this section the following words have the meanings indicated. (2) (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. (3) "Credentialing intermediary" means a person to whom a carrier
has delegated credentialing or recredentialing authority and responsibility. (4) "Health care provider" means an individual who is licensed,
certified, or otherwise authorized under the Health Occupations Article to provide
health care services. (5) "Provider panel" means the providers that contract with a carrier
to provide health care services to the enrollees under a health benefit plan of the
carrier. (6) "Uniform credentialing form" means the form designated by the
Commissioner through regulation for use by a carrier or its credentialing intermediary
for credentialing and recredentialing a health care provider for participation on a
provider panel.
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Session Laws, 2007
Volume 803, Page 4303   View pdf image
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