Regulation .01 Applicability and Scope.
Regulation .01 Applicability and Scope.LinkCopy Citation
A.
This chapter is applicable to all:
(1)
Claims submitted to third-party payors as defined in Regulation .02B(22) of this chapter;
(2)
Claims submitted by health care practitioners as defined in Regulation .02B(12) of this chapter;
(3)
Claims submitted by hospitals as defined in Health-General Article, §19-301(g), Annotated Code of Maryland; and
(4)
Claims submitted by other persons entitled to reimbursement from a third-party payor who submit claims to third-party payors on the HCFA Form 1500 or HCFA Form UB-92.
B.
This chapter is not applicable to claims submitted by members.