<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 31.10.06.10" title_num="31" subtitle_num="10" chapter_num="06" heading="Standards for Claims Payment.">
  <paragraph num="A.">
    <text>An issuer shall comply with §1882(c)(3) of the Social Security Act, as enacted by §4081(b)(2)(C) of the Omnibus Budget Reconciliation Act of 1987 (OBRA) 1987, Public Law No. 100-203, by:</text>
    <paragraph num="(1)">
      <text>Accepting a notice from a Medicare carrier on dually assigned claims submitted by participating physicians and suppliers as a claim for benefits in place of any other claim form otherwise required and making a payment determination on the basis of the information contained in that notice;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Notifying the participating physician or supplier and the beneficiary of the payment determination;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Paying the participating physician or supplier directly;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Furnishing, at the time of enrollment, each enrollee with a card listing the policy name, number, and a central mailing address to which notices from a Medicare carrier may be sent;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Paying user fees for claim notices that are transmitted electronically or otherwise; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Providing to the federal Secretary of Health and Human Services, at least annually, a central mailing address to which all claims may be sent by Medicare carriers.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The issuer shall certify to compliance with requirements set forth in §A of this regulation on the Medicare supplement insurance experience reporting form.</text>
  </paragraph>
</regulation>