Private Review Agents

  1. Law
  2. Maryland Code
  3. Insurance
  4. Health Insurance
  5. Private Review Agents

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Section
15-10B-01

Definitions

Section
15-10B-02

Purpose of subtitle

Section
15-10B-03

Certificates -- Required; issuance; transferability; regulations; uniform treatment plan form

Section
15-10B-04

Certificates -- Application; fees

Section
15-10B-05

Certificates -- Additional information

Section
15-10B-06

Determinations by private review agent

Section
15-10B-07

Adverse decisions by private review agent

Section
15-10B-08

Requirements of internal grievance process

Section
15-10B-09

Requirements of internal grievance process -- Maternity and newborn care

Section
15-10B-09.1

Requirements of grievance decision

Section
15-10B-10

Certificates -- Expiration; renewal

Section
15-10B-11

Private review agent -- Prohibitions

Section
15-10B-12

Private review agent -- Penalties

Section
15-10B-13

Right to hearing and appeal from action of Commissioner

Section
15-10B-14

Waiver of requirements for review of certain patients

Section
15-10B-15

List of private review agents

Section
15-10B-16

Reporting requirements

Section
15-10B-17

Patient referrals by private review agents

Section
15-10B-18

Withdrawal and submission of certificate

Section
15-10B-19

Examination by Commissioner

Section
15-10B-20

Examination by Commissioner -- Pharmacy benefit manager