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Commercial Health Insurance Product definition

Commercial Health Insurance Product means any of the various health insurance plans or products and/or health benefit plan designs offered or administered by any Payer and not funded by Medicare, or Medicaid, including but not limited to tiered network plans, limited network plans, self-insured health plans, indemnity plans, preferred provider organization plans (“PPO”), health maintenance organization plans (“HMO”) and point of service plans (“POS”).

Examples of Commercial Health Insurance Product in a sentence

  • Paragraph 82 outlines approaches to compliance with the Price Constraint in the event that “BILH and a Covered Commercial Payer [enter] into an agreement that provides payment for a Commercial Health Insurance Product to BILH or a Covered BILH Provider through one or more Alternative Payment Methods…”.Date Due: Price Constraint Period (March 1, 2019 – February 28, 2026).

  • ResultGrant Thornton testing identified four Commercial Contracts provided payment for a Commercial Health Insurance Product to BILH through Alternative Payment Methods.

  • Packages can be sent through the U.S. Postal Service, FedEx, DHL, or UPS.

  • ResultGrant Thornton testing identified three Commercial Contracts provided payment for a Commercial Health Insurance Product to BILH through Alternative Payment Methods.

  • Additionally, Grant Thornton identified four contracts provided supplementary payments for a Commercial Health Insurance Product to BILH through Alternative Payment Methods: BILHPN – HPHC; BIDCO – Tufts; LCPN – Tufts; and MACIPA – Tufts.

  • Alastair Hanton stated that the lighting should be designed for people and not for vehicles and that the design of the whole street needed to be taken into account.The Design for the street was discussed and Tim (BOST) asked if this would be subject to a competition.

  • Additionally, Grant Thornton identified two contracts provided supplementary payments for a Commercial Health Insurance Product to BILH through Alternative Payment Methods: BILHPN – BCBSMA and BILHPN – HPHC.

  • Additionally, Grant Thornton identified three contracts provided supplementary payments for a Commercial Health Insurance Product to BILH through Alternative Payment Methods: BIDCO – Tufts; LCPN – Tufts; and MACIPA – Tufts.

Related to Commercial Health Insurance Product

  • Health insurance carrier or "carrier" means any entity subject to the insurance

  • Health insurance means protection which provides payment of benefits for covered sickness or injury.

  • Health insurance plan means any health insurance policy or health benefit plan offered by a health insurer or a subcontractor of a health insurer, as well as Medicaid and any other public health care assistance program offered or administered by the State or by any subdivision or instrumentality of the State. The term includes vision care plans but does not include policies or plans providing coverage for a specified disease or other limited benefit coverage.

  • Health insurer means the same as that term is defined in Section 31A-22-615.5.

  • Health insurance policy means a policy that provides specified benefits for hospital and/or general treatment and meets all requirements under section 63-10 of the Private Health Insurance Act 2007.

  • Licensed mental health professional or "LMHP" means a physician, licensed clinical psychologist, licensed professional counselor, licensed clinical social worker, licensed substance abuse treatment practitioner, licensed marriage and family therapist, certified psychiatric clinical nurse specialist, licensed behavior analyst, or licensed psychiatric/mental health nurse practitioner.

  • Licensed clinical social worker means an individual who meets the licensed clinical social worker requirements established in KRS 335.100.

  • Insurance producer means a person required to be licensed under the laws of this state to sell, solicit or negotiate insurance, including annuities.

  • Individual health insurance coverage means health insurance coverage offered to individuals in the

  • Life insurance producer means any person licensed in this state as a resident or nonresident insurance producer who has received qualification or authority for life insurance coverage or a life line of coverage pursuant to chapter 522B.

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • Basic health plan means the plan described under chapter

  • Group health insurance coverage means in connection with a group health plan, health insurance

  • Rural health clinic means a rural health clinic as defined under section 1861 of part C of title XVIII of the social security act, chapter 531, 49 Stat. 620, 42 U.S.C. 1395x, and certified to participate in medicaid and medicare.

  • Health insurance issuer means an insurance company, or insurance organization (including a health

  • Health insurance exchange means an exchange as defined in 45 C.F.R. Sec. 155.20.

  • Participating Clinical Laboratory means a Clinical Laboratory which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Health planning region means a contiguous geographical area of the Commonwealth with a

  • National Flood Insurance Program means the program created by the U.S. Congress pursuant to the National Flood Insurance Act of 1968 and the Flood Disaster Protection Act of 1973, as revised by the National Flood Insurance Reform Act of 1994, that mandates the purchase of flood insurance to cover real property improvements located in Special Flood Hazard Areas in participating communities and provides protection to property owners through a Federal insurance program.

  • Therapeutic school means a residential group living facility:

  • Nonprescription drug or "over-the-counter drug" means any

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Disabled parking license plate means a license plate that displays the international symbol of access

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Substance Abuse Professional (SAP) means a qualified person who evaluates employees who have violated a DOT drug and alcohol regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

  • veterinary clinic means a building where animals are given medication or surgical treatment and are cared for during the time of such treatment for financial gain;