(a)
- (1) In this section the following words have the meanings indicated.
- (2) “Health care provider” means an individual who is licensed, certified, or otherwise authorized under the Health Occupations Article to provide health care services.
- (3) “HMO provider panel” means a provider panel for one or more health maintenance organizations.
- (4) “Insurer provider panel” means a provider panel for one or more insurers engaged in the business of casualty insurance or property insurance.
- (5) “Non-HMO provider panel” means a provider panel for one or more nonprofit health service plans or insurers.
- (6) “Provider contract” means a contract between a health care provider and an entity that contracts with a health care provider to serve on an insurer provider panel, an HMO provider panel, or a non-HMO provider panel.
(b)
- (1) An insurer may not use an insurer provider panel if the provider contract for the insurer provider panel requires a provider to participate on the insurer provider panel as a condition of participating on an HMO provider panel or a non-HMO provider panel.
(2) An entity arranging an insurer provider panel shall provide a health care provider a schedule of applicable fees for up to the 50 most common services billed by a health care provider in the specialty of the health care provider:
- (i) in writing at the time of execution of a provider contract;
- (ii) in writing or electronically 30 days before a change in the schedule of applicable fees; and
- (iii) in writing or electronically on request of the health care provider.
Added by Acts 2009, c. 131, § 1, eff. Oct. 1, 2009.