Md. Code, Insurance § 14-104
This is the official text of Md. Code, Insurance § 14-104, part of Maryland’s Code, Insurance — regulates insurance companies and the policies they sell.
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§14–104.
Official statutory text
(a) 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) 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.
(b) 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.
Status: in_force · Read it on the official government site
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