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<section article="gin" article_name="Insurance" number="15-112.3" future_version_removed="true" title_number="15" title_name="Health Insurance" subtitle_number="1" subtitle_name="General Provisions">
  <level label="a">
    <level label="1">
      <text>In this section the following words have the meanings indicated.</text>
    </level>
    <level label="2">
      <level label="i">
        <text>“Carrier” has the meaning stated in § 15–112 of this subtitle.</text>
      </level>
      <level label="ii">
        <text>“Carrier” does not include a managed care organization, as defined in Title 15, Subtitle 1 of the Health – General Article.</text>
      </level>
    </level>
    <level label="3">
      <text>“Multi–carrier common online provider directory information system” means the system designated by the Commissioner for use by providers to provide and update their provider directory information with carriers.</text>
    </level>
  </level>
  <level label="b">
    <text>The Commissioner may designate a multi–carrier common online provider directory information system developed by a nonprofit alliance of health plans and trade associations if:</text>
    <level label="1">
      <text>the system is available to providers nationally;</text>
    </level>
    <level label="2">
      <text>the system is available to providers at no charge;</text>
    </level>
    <level label="3">
      <text>the system allows providers to:</text>
      <level label="i">
        <text>attest online to the accuracy of their information; and</text>
      </level>
      <level label="ii">
        <level label="1">
          <text>correct any inaccurate information; and</text>
        </level>
        <level label="2">
          <text>attest to the correction; and</text>
        </level>
      </level>
    </level>
    <level label="4">
      <text>the nonprofit alliance has a well–established mechanism for outreach to providers.</text>
    </level>
  </level>
  <level label="c">
    <text>A carrier shall accept new and updated provider directory information for a provider submitted:</text>
    <level label="1">
      <level label="i">
        <text>through the multi–carrier common online provider directory information system; or</text>
      </level>
      <level label="ii">
        <text>directly to the carrier; and</text>
      </level>
    </level>
    <level label="2">
      <text>from:</text>
      <level label="i">
        <text>the provider;</text>
      </level>
      <level label="ii">
        <text>a hospital or academic medical center that:</text>
        <level label="1">
          <text>is a participating provider on the carrier’s provider panel; and</text>
        </level>
        <level label="2">
          <text>acts as a credentialing intermediary for the carrier for providers that:</text>
        </level>
        <level label="A">
          <text>participate on the carrier’s provider panel; and</text>
        </level>
        <level label="B">
          <text>have privileges at the hospital or academic medical center; or</text>
        </level>
      </level>
      <level label="iii">
        <text>any other person that performs credentialing functions on behalf of a provider.</text>
      </level>
    </level>
  </level>
</section>
