<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 31.10.12.02" title_num="31" subtitle_num="10" chapter_num="12" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Carrier” means:</text>
      <paragraph num="(a)">
        <text>An insurer;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A nonprofit health service plan;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A health maintenance organization; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A dental plan organization.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Consultant/facility provider” means:</text>
      <paragraph num="(a)">
        <text>A person licensed or certified under Health Occupations Article, Annotated Code of Maryland, who receives a referral from a primary or requesting provider; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Hospitals and related institutions that receive a referral from a primary or requesting provider.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Hospital” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Primary or requesting provider” means a person licensed or certified under the Health Occupations Article, Annotated Code of Maryland, who refers patients for consultation to a consultant/facility provider.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Related institution” has the meaning stated in Health-General Article, §19-301, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Uniform consultation referral form” means:</text>
      <paragraph num="(a)">
        <text>For dentists referring patients for dental care procedures or services, the Maryland Uniform Dental Consultation Referral Form or its electronic equivalent shown in Regulation .08 of this chapter; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For all other health care professionals referring patients for health, medical, or dental care procedures or services, the Maryland Uniform Consultation Referral Form or its electronic equivalent shown in Regulation.06 of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>