2016 Maryland Code
Insurance
Title 15 - Health Insurance
Subtitle 10A - Complaint Process for Adverse Decisions or Grievances
§ 15-10A-09. Regulations; right to challenge decision resulting in nonpayment
(a) Regulations. -- The Commissioner shall adopt regulations to carry out this subtitle.
(b) Right to challenge decision resulting in nonpayment. -- In addition to the requirements of subsection (a) of this section, the Commissioner shall adopt by regulation a requirement that each carrier provide a mechanism in a form and manner that the Commissioner may require to enable a member to:
(1) be informed of the member's right to challenge a decision made by a carrier that resulted in the nonpayment of a health care service; and
(2) access the Consumer Education and Advocacy Program in the Administration.
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