Md. Code Regs. 31.10.10.02

Current through Register Vol. 51, No. 24, December 2, 2024

Section 31.10.10.02 - Definitions

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) "Claimant" means an insured individual resident in Maryland making a claim against the insurer for benefits, who is a:

(a) Policyholder covered by an individual policy; or

(b) Certificate holder covered under a group policy or under an administration contract.

(2) "Service" means any service for which a charge is made which is covered under the policy or contract, including charges for, but not limited to:

(a) Fees of surgeons, anesthetists, and other physicians;

(b) Room and board charges;

(c) Operating room charges;

(d) Recovery room charges; and

(e) Nursing care charges.

Md. Code Regs. 31.10.10.02