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Md. Code, Ins. §§ 15–10A–01 through 15–10A–10: Health Insurance — Complaint Process for Adverse Decisions or Grievances – Maryland
Status: EnactedYear Enacted: 1998
Year Amended: 2017
File: Download
Each carrier shall establish an internal grievance process for its members. Provides procedures for a complaint filed with the Commissioner under this subtitle that involves a question of whether the health care service provided or to be provided to a member is medically necessary; provides reporting requirement to the Commissioner. A carrier shall provide the notices required to be provided to members under this subtitle in a culturally and linguistically appropriate manner as described in the Affordable Care Act.
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