Section 19-350.1 - Uniform claims forms. - Maryland Statutes

§ 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. 
 

[1992, ch. 613; 1997, ch. 70, § 4.]