§ 30-1 — Definitions

§ 30-1. Definitions.

(a) In general. For the purpose of this subtitle the following words have the meanings indicated unless their context clearly indicates otherwise. (b) Carrier. “Carrier” means: (1) an insurer; (2) a network delivery system; (3) a nonprofit health service plan; (4) a health maintenance organization; (5) a preferred provider organization; (6) a dental plan organization; or (7) any person acting as a third party administrator. (c) Network delivery system. “Network delivery system” means a person or entity that provides health care services to covered individuals through a provider panel. (d) {Repealed} (e) Provider. (1) “Provider” means a person licensed, certified, or otherwise authorized under the Health Occupations Article of the Annotated Code of Maryland to provide health care services in the ordinary course of business or practice of a profession. (2) “Provider” includes a health care facility, professional service corporation, partnership, limited liability company, professional office, or any other entity licensed or authorized by law to render professional services for or on behalf of a provider. (f) Provider panel. “Provider panel” means a group of providers who have entered into a provider service contract with a carrier to provide services under the carrier’s health benefit plan.

(Ord. 22-125; Ord. 96-004.)