- A. Third-party payors shall accept HCFA Form UB-92, and its successors, and the instructions provided by CMS for use of the HCFA Form UB-92, as the sole instrument for filing claims with third-party payors for hospital and other health-care services.
- B. Except for parties to a global contract, a third-party payor may not use, and may not require a hospital, or person entitled to reimbursement, to use any code or modifier for the filing of claims for hospital or other health-care services that is different from or in addition to, what is required under the applicable standard code set for the hospital or other health-care services provided.
- C. Except as provided in Regulation .10 of this chapter, a third-party payor may not use and may not require a hospital or person entitled to reimbursement to furnish additional information with the initial submission of the UB-92 that is different from, or in addition to, the applicable standard code set or for the hospital or other health-care services provided.
Authority: Health Occupations Article, §1-208; Insurance Article, §§2-108, 2-109, and 15-1003—15-1005; Annotated Code of Maryland
Regulations .01—.07 adopted as an emergency provision effective July 22, 1993 (20:16 Md. R. 1274); adopted permanently effective October 25, 1993 (20:21 Md. R. 1653)
Chapter recodified from COMAR 09.30.56 to COMAR 31.10.11 effective September 7, 1998 (25:18 Md. R. 1439)
Chapter revised effective September 7, 2001 (28:12 Md. R. 1113); December 11, 2003 (30:24 Md. R. 1747)
Regulation .02B amended effective October 1, 2015 (42:15 Md. R. 1019)
Regulation .07E adopted effective January 26, 2009 (36:2 Md. R. 102)
Regulation .10A amended effective March 17, 2014 (41:5 Md. R. 348)
Regulation .14C amended effective February 27, 2017 (44:4 Md. R. 256)