2013 Maryland Code
INSURANCE
§ 14-104 - Statement of principal claims practices
§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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