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<section article="gin" article_name="Insurance" number="14-105" title_number="14" title_name="Entities That Act as Health Insurers" subtitle_number="1" subtitle_name="Nonprofit Health Service Plans">
  <level label="a">
    <text>If a nonprofit health service plan is successful in an action against a person authorized to provide health care in the State, the nonprofit health service plan may recover the costs and expenses reasonably incurred by it in the action if it shows that:</text>
    <level label="1">
      <text>the person knowingly or willfully made or caused to be made:</text>
      <level label="i">
        <text>a false statement or representation of a material fact in an application for a benefit or payment from a nonprofit health service plan under this subtitle or Title 15 of this article;</text>
      </level>
      <level label="ii">
        <text>a false statement or representation of a material fact for use in determining rights to those benefits or payments; or</text>
      </level>
      <level label="iii">
        <text>a false statement or representation about a procedure, operation, or service alleged to have been performed; or</text>
      </level>
    </level>
    <level label="2">
      <text>the person:</text>
      <level label="i">
        <text>engaged in gross, willful, and continued overcharging for a procedure, operation, or service; or</text>
      </level>
      <level label="ii">
        <text>filed false statements for collection of fees for services that were not rendered.</text>
      </level>
    </level>
  </level>
  <level label="b">
    <text>If a nonprofit health service plan is denied relief in an action under this section, the person against whom the action was brought may recover the costs and expenses reasonably incurred by the person in defending the action.</text>
  </level>
  <level label="c">
    <text>This section does not limit any additional rights or remedies that a nonprofit health service plan may have at law or in equity.</text>
  </level>
</section>
