<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 31.10.34.03" title_num="31" subtitle_num="10" chapter_num="34" 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>“Accredited hospital” means a hospital accredited by the Joint Commission on Accreditation of Healthcare Organizations.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Carrier” means an insurer, a nonprofit health service plan, or a dental plan organization.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Enrollee” means an individual entitled to health care benefits from a carrier.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Hospital-based physician” means an anesthesiologist, pathologist, radiologist, neonatologist, hospitalist, intensivist, or emergency medicine physician that practices exclusively within an accredited hospital and provides care to enrollees only as a result of the enrollees being directed to the hospital.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Prominent carrier” means a carrier reporting at least $90,000,000 in written premium for medical benefits in Maryland in the most recent annual statement.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Provider” means a health care practitioner or group of health care practitioners licensed, certified, or otherwise authorized by law to provide health care services.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Provider panel” means the providers that contract either directly or through a subcontracting entity with a carrier to provide health care services to the carrier's enrollees under the carrier's health benefit plan.</text>
    </paragraph>
  </paragraph>
</regulation>