(5) “Explanation of benefits” means the document that is provided by a carrier to an insured that explains the claims paid, reduced, or denied by the carrier.
(13) “Preferred provider insurance policy” means a policy or insurance contract issued or delivered in the State by a carrier under which health care services furnished by a preferred provider are paid on a preferential basis.
Authority: Insurance Article, §§2-109(a)(1), 14-205.2, and 14-205.3, Annotated Code of Maryland
Effective date: September 19, 2011 (38:19 Md. R. 1148)