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<section article="gin" article_name="Insurance" number="19-115" title_number="19" title_name="Property and Casualty 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">
      <text>“Health care provider” means an individual who is licensed, certified, or otherwise authorized under the Health Occupations Article to provide health care services.</text>
    </level>
    <level label="3">
      <text>“HMO provider panel” means a provider panel for one or more health maintenance organizations.</text>
    </level>
    <level label="4">
      <text>“Insurer provider panel” means a provider panel for one or more insurers engaged in the business of casualty insurance or property insurance.</text>
    </level>
    <level label="5">
      <text>“Non–HMO provider panel” means a provider panel for one or more nonprofit health service plans or insurers.</text>
    </level>
    <level label="6">
      <text>“Provider contract” means a contract between a health care provider and an entity that contracts with a health care provider to serve on an insurer provider panel, an HMO provider panel, or a non–HMO provider panel.</text>
    </level>
  </level>
  <level label="b">
    <level label="1">
      <text>An insurer may not use an insurer provider panel if the provider contract for the insurer provider panel requires a provider to participate on the insurer provider panel as a condition of participating on an HMO provider panel or a non–HMO provider panel.</text>
    </level>
    <level label="2">
      <text>An entity arranging an insurer provider panel shall provide a health care provider a schedule of applicable fees for up to the 50 most common services billed by a health care provider in the specialty of the health care provider:</text>
      <level label="i">
        <text>in writing at the time of execution of a provider contract;</text>
      </level>
      <level label="ii">
        <text>in writing or electronically 30 days before a change in the schedule of applicable fees; and</text>
      </level>
      <level label="iii">
        <text>in writing or electronically on request of the health care provider.</text>
      </level>
    </level>
  </level>
</section>
