Agenda: Public Meeting on Clean Claims (Meeting #2)
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Agenda – Public Meeting on Clean Claims
Meeting Two
Tuesday, August 18, 2026
10:00AM – 11:30 AM
This public meeting is virtual through the ZoomGov platform.
Register in advance for this August 18 public meeting:https://maryland-insurance.zoomgov.com/webinar/register/WN_FAqVy4ZHS0Sp0-3Nc5C4xg#/registration
After registering, you will receive a confirmation email containing information about joining the hearing.
1. Welcome/Opening Remarks
2. Questions for Group Discussion - Mary Kwei
- Should the regulations be updated to align with current technological advancements in claim processing? And if yes, what updates should be made?
- Should the regulations be updated to align with current technological advancements in claim submission and receipt (This could include how systems verify standard data elements, attachments to claims, or confirmations of receipt)? And if yes, what updates should be made?
- What specific types of documentation do carriers require when submitting a claim and how do providers know in advance what types of documentation may be needed for efficient adjudication?
- According to Maryland COMAR 31.10.11.11(A)(9), a third- party payor is permitted to request additional information if there is reasonable belief that a claim for emergency services may not satisfy the established criteria under Health-General Article, §19-701(d), Annotated Code of Maryland. What further information should third-party payers be permitted to request? Should providers be required to attach a list of presenting symptoms with the original submission of a claim for emergency services?
- Should providers be required to respond to requests for additional information within a set time period, such as 30 days after the notice was sent, and, if the provider does not provide a timely response, should carriers then be required to issue a final determination of the claim based on the information originally submitted?
3. Other comments or questions
If you would like to present or offer public comments during the virtual public meeting, please notify the MIA in advance, by emailing Matthew Weiss, Manager of Health Policy Initiatives, at [email protected]. The MIA can only assure the opportunity to speak during the virtual public meeting to those interested parties who have signed up by Monday, August 17, 2026.
To the extent that time and technology permit, the MIA will hear from unregistered participants who access the Zoom Webinar platform.
