Sec. 10.25.06.07. Professional Services Data Report Submission

Latest version.

A. Each reporting entity shall submit a professional services data report that provides the data for each fee-for-service and capitated encounter provided by a health care practitioner or office facility. This report shall include all health care services provided:

(1) To each Maryland resident insured by that entity under a fully insured or a self-insured contract; and

(2) To each non-Maryland resident insured under a Maryland contract.

B. Each professional services data report shall contain the information specified by the Commission in its annual update to the MCDB Data Submission Manual and be filed in a form and manner specified in the Manual.

                    
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