Code of Maryland Regulations
Title 31 - MARYLAND INSURANCE ADMINISTRATION
Subtitle 10 - HEALTH INSURANCE-GENERAL
Chapter 31.10.11 - Uniform Claims Forms
Section 31.10.11.13 - Disclosure
Universal Citation: MD Code Reg 31.10.11.13
Current through Register Vol. 51, No. 19, September 20, 2024
A. Third-party payors shall follow the disclosure requirements set forth in Insurance Article, § 15-1004(d), Annotated Code of Maryland.
B. If a third-party payor uses auto codes to determine whether health care services provided in a hospital emergency facility are "emergency services" as defined in Health-General Article, §19-701(e), Annotated Code of Maryland, the third-party payor shall provide to all contracting health care practitioners or hospitals rendering emergency services, or to all health care practitioners or hospitals rendering emergency services that request them:
(1) Auto codes used by the third-party payor to determine emergency services; and
(2) Updated auto codes for emergency services at least 30 days before an update of the auto codes will be used, stating the date on which the updated auto codes for emergency services will be used.
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