Maryland Insurance Section 14-104

Article - Insurance

§ 14-104.

      (a)      Each nonprofit health service plan that provides hospital benefits shall furnish a statement of the plan's principal claims practices as part of the certificate form or booklet describing the coverage to be afforded.

      (b)      The statement shall include practices for payment for:

            (1)      surgical procedures performed by two or more surgeons;

            (2)      services provided in-area by nonparticipating providers; and

            (3)      services provided out-of-area by affiliated plans and affiliated providers.



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