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<section article="ghg" article_name="Health - General" number="19-350.1" title_number="19" title_name="Health Care Facilities" subtitle_number="3" subtitle_name="Hospitals and Related Institutions">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <text>“Third party payor” means any person that administers or provides reimbursement for hospital benefits on an expense incurred basis including:</text>
      <level label="i">
        <text>A health maintenance organization issued a certificate of authority in accordance with Subtitle 7 of this title;</text>
      </level>
      <level label="ii">
        <text>A health insurer or nonprofit health service plan authorized to offer health insurance policies or contracts in this State in accordance with the Insurance Article; or</text>
      </level>
      <level label="iii">
        <text>A third party administrator registered under the Insurance Article.</text>
      </level>
    </level>
    <level label="3">
      <text>“Uniform claims form” means the claim or billing form for reimbursement of hospital services adopted by the Insurance Commissioner under § 15-1003 of the Insurance Article.</text>
    </level>
  </level>
  <level label="b">
    <text>When submitting a claim or bill for reimbursement to a third party payor, a hospital shall use the uniform claims form.</text>
  </level>
  <level label="c">
    <text>The uniform claims form submitted under this section:</text>
    <level label="1">
      <text>Shall be properly completed; and</text>
    </level>
    <level label="2">
      <text>May be submitted by electronic transfer.</text>
    </level>
  </level>
  <level label="d">
    <text>The Secretary may impose a penalty not to exceed $500 on any hospital that violates the provisions of this section.</text>
  </level>
</section>
