§ 15-1001 Requirement for utilization review
§ 15-1002 Claim forms to conform to regulations
§ 15-1003 Adoption of uniform claims forms required
§ 15-1004 Acceptance of uniform claims forms required
§ 15-1005 Prompt payment of claims
§ 15-1006 Notice of reason for denial of claim
§ 15-1007 Summary explanation of benefits
§ 15-1008 Retroactive denial of reimbursement
§ 15-1009 “Carrier” defined; reimbursement for preauthorized care; payment of claims
§ 15-1010 “Disability benefit” and “adverse benefit determination” defined; regulations
§ 15-1011 Expense reimbursement claims forms – Methods for submission

Terms Used In Maryland Code > INSURANCE > Title 15 > Subtitle 10 - Claims and Utilization Review

  • Administrator: includes an executor and a personal representative. See
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Electronic funds transfer: The transfer of money between accounts by consumer electronic systems-such as automated teller machines (ATMs) and electronic payment of bills-rather than by check or cash. (Wire transfers, checks, drafts, and paper instruments do not fall into this category.) Source: OCC
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • including: means includes or including by way of illustration and not by way of limitation. See
  • Person: includes an individual, receiver, trustee, guardian, personal representative, fiduciary, representative of any kind, corporation, partnership, business trust, statutory trust, limited liability company, firm, association, or other nongovernmental entity. See
  • state: means :

    (1) a state, possession, territory, or commonwealth of the United States; or

    (2) the District of Columbia. See