§ 14-104. Statement of principal claims practices

Latest version.

   (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.

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

                    
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