Section 14-104 - Statement of principal claims practices. - Maryland Statutes

§ 14-104. Statement of principal claims practices.
 

(a)  Required.- 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)  Contents.- 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. 
 

[An. Code 1957, art. 48A, § 354P; 1997, ch. 35, § 2.]