Maryland § 15-10B-11
Full text of Maryland Maryland Code § 15-10B-11, with citation guidance and answers to common questions.
§ 15-10B-11.
A private review agent may not:
(1) violate any provision of this subtitle or any rule or regulation adopted under this subtitle;
(2) fail to meet the requirements for certification under this subtitle;
(3) obtain or attempt to obtain certification based on inaccurate information;
(4) fraudulently or deceptively obtain or use a certificate;
(5) fail to make available the services of sufficient numbers of registered nurses, medical records technicians, or similarly qualified persons supported and supervised by appropriate physicians to carry out its utilization review activities;
(6) fail to meet any applicable regulations the Commissioner adopts under this subtitle relating to the qualifications of private review agents or the performance of utilization review;
(7) fail to protect the confidentiality of medical records in accordance with applicable State and federal laws;
(8) use criteria and standards to conduct utilization review unless the criteria and standards used by the private review agent are:
(i) objective;
(ii) clinically valid;
(iii) compatible with established principles of health care; or
(iv) flexible enough to allow deviations from norms when justified on a case-by-case basis; or
(9) act as a private review agent without holding a certificate issued under this subtitle.
Frequently Asked Questions About Maryland § 15-10B-11
What does Maryland Code § 15-10B-11 cover?
Section 15-10B-11 is part of the Maryland Code, the codified statutory law of Maryland. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Maryland § 15-10B-11?
A common citation format is "Maryland Code § 15-10B-11" (Maryland). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Maryland law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Maryland official source linked on this page or consult a licensed Maryland attorney.
How does Maryland § 15-10B-11 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Maryland can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Maryland.