<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 31.10.41.02" title_num="31" subtitle_num="10" chapter_num="41" 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>“Allowed amount” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Assignment of benefits” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Carrier” means an insurer or nonprofit health service plan.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Covered service” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Explanation of benefits” means the document that is provided by a carrier to an insured that explains the claims paid, reduced, or denied by the carrier.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Hospital-based physician” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland and does not include an on-call physician.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Insured” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Insurer” has the meaning stated in Insurance Article, §1-101, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Nonpreferred provider” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Nonprofit health service plan” means a person who has a certificate of authority to operate as a nonprofit health service plan in Maryland.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“On-call physician” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Preferential basis” has the meaning stated in Insurance Article, §14-201, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Preferred provider insurance policy” means a policy or insurance contract issued or delivered in the State by a carrier under which health care services furnished by a preferred provider are paid on a preferential basis.</text>
    </paragraph>
  </paragraph>
</regulation>