<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 31.10.11.01" title_num="31" subtitle_num="10" chapter_num="11" heading="Applicability and Scope.">
  <paragraph num="A.">
    <text>This chapter is applicable to all:</text>
    <paragraph num="(1)">
      <text>Claims submitted to third-party payors as defined in Regulation .02B(22) of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Claims submitted by health care practitioners as defined in Regulation .02B(12) of this chapter;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Claims submitted by hospitals as defined in Health-General Article, §19-301(g), Annotated Code of Maryland; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>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.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>This chapter is not applicable to claims submitted by members.</text>
  </paragraph>
</regulation>