§ 30-1 Definitions.
Current through 2026-07-17. Source: City of Balt., Md., Ord. 26-129. Published by the Baltimore City Department of Legislative Reference.
Balt., Md., Code art. 5, § 30-1 (2026)
§ 30-1 Definitions.LinkCopy Citation
(a)In general.
For the purpose of this subtitle the following words have the meanings indicated unless their context clearly indicates otherwise.
(b)Carrier.
“Carrier” means:
(1)
an insurer;
(2)
a network delivery system;
(3)
a nonprofit health service plan;
(4)
a health maintenance organization;
(5)
a preferred provider organization;
(6)
a dental plan organization; or
(7)
any person acting as a third party administrator.
(c)Network delivery system.
“Network delivery system” means a person or entity that provides health care services to covered individuals through a provider panel.
(e)Provider.
(1)
“Provider” means a person licensed, certified, or otherwise authorized under the <cite data-doc="Md. Code" data-path="gho">Health Occupations Article of the Annotated Code of Maryland</cite> to provide health care services in the ordinary course of business or practice of a profession.
(2)
“Provider” includes a health care facility, professional service corporation, partnership, limited liability company, professional office, or any other entity licensed or authorized by law to render professional services for or on behalf of a provider.
(f)Provider panel.
“Provider panel” means a group of providers who have entered into a provider service contract with a carrier to provide services under the carrier’s health benefit plan.
History: Ord. 96-004
History: Ord. 22-125