Maryland Statutes
Title 15 - Health Insurance
Subtitle 10 - Claims and Utilization Review

Section 15-1001 - Requirement for Utilization Review - (a) This section applies to entities that propose to issue...

Section 15-1002 - Claim Forms to Conform to Regulations - To provide a standard system of payment for medical services,...

Section 15-1003 - Adoption of Uniform Claims Forms Required - (a) (1) In this section the following words have the...

Section 15-1004 - Acceptance of Uniform Claims Forms Required - (a) For services rendered by a person entitled to reimbursement...

Section 15-1005 - Prompt Payment of Claims - (a) In this section, “clean claim” means a claim for...

Section 15-1006 - Notice of Reason for Denial of Claim - (a) On written request of the claimant, an insurer that...

Section 15-1007 - Summary Explanation of Benefits - (a) This section applies to insurers and nonprofit health service...

Section 15-1008 - Retroactive Denial of Reimbursement - (a) (1) In this section the following words have the...

Section 15-1009 - "Carrier" Defined; Reimbursement for Preauthorized Care; Payment of Claims - (a) In this section, “carrier” means: (1) an insurer; (2)...

Section 15-1010 - "Disability Benefit" and "Adverse Benefit Determination" Defined; Regulations - (a) (1) In this section the following words have the...

Section 15-1011 - Expense Reimbursement Claims Forms -- Methods for Submission - (a) (1) This section applies to: (i) insurers and nonprofit...