<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 31.10.41.03" title_num="31" subtitle_num="10" chapter_num="41" heading="Assignment of Benefits — On-Call Physicians.">
  <paragraph num="A.">
    <text>A nonpreferred provider who is an on-call physician may accept an assignment of benefits under a preferred provider insurance policy.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A nonpreferred provider who is an on-call physician and accepts an assignment of benefits under a preferred provider insurance policy shall:</text>
    <paragraph num="(1)">
      <text>Accept the carrier’s allowed amount as payment in full for the covered services provided;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Collect or attempt to collect from the insured only the monies for the items identified in Insurance Article, §14-205.2(b)(3), Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Submit to the carrier the uniform claims form required by COMAR 31.10.11.03 and indicate acceptance of the assignment of benefits in box 27 of the uniform claims form to satisfy the notice requirements under Insurance Article, §14-205.2(a)(3), Annotated Code of Maryland; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Designate CPT code 99026, or its successor, on the uniform claims form.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A carrier shall reimburse a nonpreferred provider who is an on-call physician and who has provided the information specified in §B(3) and (4) of this regulation in accordance with the provisions of Insurance Article, §14-205.2(c), Annotated Code of Maryland.</text>
  </paragraph>
</regulation>