2016 Maryland Code
Insurance
Title 15 - Health Insurance
Subtitle 10A - Complaint Process for Adverse Decisions or Grievances
§ 15-10A-07. Quarterly report to Commissioner by Health Advocacy Unit
On a quarterly basis, the Health Advocacy Unit shall submit a report to the Commissioner that:
(1) describes activities it performed on behalf of members that have participated in an internal grievance process of a carrier established under this subtitle;
(2) describes its efforts to mediate cases that involve an adverse decision;
(3) names each carrier involved in the cases described in the report;
(4) states the number and outcome of each grievance considered an emergency case under ยง 15-10A-02(b)(2)(i) of this subtitle described in the report, including the time within which the carrier made a grievance decision on each emergency case; and
(5) states the number and outcome of each case described in the report that was not considered an emergency case, including the time within which the carrier made a grievance decision on the case.
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