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Maryland prompt pay law dental

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Under Md. Code Ann., Ins. §15-1005, the Maryland payment deadline is 30 days (pay or send a receipt-and-status notice). Maryland puts the rate in the statute, not in regulation: interest runs on the amount unpaid 30 days after receipt at the monthly rate of 1.5 percent from the 31st through the 60th day, 2 percent from the 61st through the 120th day, and 2.5 percent after the 120th day (§15-1005(g)(1)). Dental applicability: Covered by cross-reference rather than by name. A self-funded private-employer (ERISA) plan is generally beyond this statute's reach and runs on the federal claims-procedure clock instead — but that comes from the courts reading 29 U.S.C. § 1144, not from its text, and it is not categorical: a self-funded governmental or church plan is not an ERISA plan at all, § 1144(b)(6) leaves multiple employer welfare arrangements open to state insurance law, and nothing in § 1144 bars a state from reaching the third-party administrator or the network contract.

Last verified
2026-08-30
Reviewer
None — owner-published

Dentovio is an independent publisher, not a law firm, insurance department, or government agency. This page was drafted with AI assistance and read against the primary sources linked here, with a per-claim verification record — quote, statutory pinpoint, and the URL actually opened — behind every deadline, rate, and applicability verdict in all fifty-one jurisdictions. It has not been reviewed by a credentialed attorney or dental billing specialist. These pages summarize state prompt-pay statutes as read against the official sources on the date shown, focusing on how each statute treats dental claims. Statutes change and their application turns on plan type, contract status, and claim facts. Educational reference only — not legal advice; confirm current law with the state insurance department or a licensed attorney before acting on a specific claim.

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Source citations

  • PROMPTPAY-MARYLAND-1 Md. Code Ann., Ins. §15-1005 — Maryland General Assembly statute viewer (mgaleg.maryland.gov)
  • PROMPTPAY-MARYLAND-2 Md. Code Ann., Ins. §15-701 — persons entitled to reimbursement (mgaleg.maryland.gov)
  • PROMPTPAY-MARYLAND-3 Maryland Insurance Administration — file a complaint (provider prompt pay) (insurance.maryland.gov)

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