Regulation .07 Professional Services Data Report Submission.
Regulation .07 Professional Services Data Report Submission.LinkCopy Citation
A.
Each reporting entity shall submit a professional services data report that provides the data for each fee-for-service and capitated encounter, including fee-for-service equivalents prices for capitated services, provided by a health care practitioner or office facility. This report shall include all health care services provided:
(1)
To each Maryland resident insured by that entity under a fully insured or a self-insured contract; and
(2)
To each non-Maryland resident insured under a Maryland contract.
B.
Each professional services data report shall contain the information specified by the Commission in its annual update to the MCDB Submission Manual and be filed in a form and manner specified in the Manual.