2016 Maryland Code
Health - General
Title 19 - Health Care Facilities
Subtitle 3 - Hospitals and Related Institutions
Part VI - Rights of Individuals
§ 19-350.1. Uniform claims forms

(a) Definitions. --

(1) In this section the following words have the meanings indicated.

(2) "Third party payor" means any person that administers or provides reimbursement for hospital benefits on an expense incurred basis including:

(i) A health maintenance organization issued a certificate of authority in accordance with Subtitle 7 of this title;

(ii) A health insurer or nonprofit health service plan authorized to offer health insurance policies or contracts in this State in accordance with the Insurance Article; or

(iii) A third party administrator registered under the Insurance Article.

(3) "Uniform claims form" means the claim or billing form for reimbursement of hospital services adopted by the Insurance Commissioner under § 15-1003 of the Insurance Article.

(b) Use required. -- When submitting a claim or bill for reimbursement to a third party payor, a hospital shall use the uniform claims form.

(c) Form of submission. -- The uniform claims form submitted under this section:

(1) Shall be properly completed; and

(2) May be submitted by electronic transfer.

(d) Penalty. -- The Secretary may impose a penalty not to exceed $ 500 on any hospital that violates the provisions of this section.