§ 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.

HISTORY: 1992, ch. 613; 1997, ch. 70, § 4.