Commercial health plan definition

Commercial health plan means a plan offered by any third party payor that negotiates
Commercial health plan means a plan offered by any third party payor that negotiates with a party to a cooperative agreement with respect to patient care services rendered by health care providers.
Commercial health plan means a health insurance product licensed to do business by the State of Texas Department of Insurance. This includes, but is not limited to, Health Maintenance Organizations, Preferred Provider Organizations, Exclusive Provider Organizations, Employer Sponsored Self-Insurance Plans, Point of Service Plans, and standard indemnity health insurance plans.

Examples of Commercial health plan in a sentence

  • S et al., Commercial health plan coverage for selected treatments for opioid use disorders from 2003 to 2014.

  • APPENDIX A MEASURE-SPECIFIC DETAIL ON MEDICAID AND COMMERCIAL HEALTH PLAN BENCHMARKS This page left blank for double-sided copying.MEASURE-SPECIFIC TABLES FVA-1 Commercial health plan performance, HEDIS 2013: Flu shots for adults ages 50 to 64 A.7FVA-2 Commercial health plan change in performance, HEDIS 2011–2013: Flu shots for adultsages 50 to 64 ................................................................................................................................

Related to Commercial health plan

  • Health plan or "health benefit plan" means any policy,

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Basic health plan means the plan described under chapter

  • 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.

  • Community mental health program means all mental health

  • State health plan means the employee and retiree insurance program provided for in Article 5, Chapter 11, Title 1.

  • Behavioral health provider means a person licensed under 34 chapter 18.57, 18.57A, 18.71, 18.71A, 18.83, 18.205, 18.225, or 18.79

  • Commercial Service means water service provided by the water utility that the customer uses in the promotion of a business or business product that is a source of revenue or income to the customer or others using the premises.

  • Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • 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.

  • 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.

  • Basic health plan services means that schedule of covered

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Designated mental health professional means a mental health

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

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

  • Behavioral health administration or "BHA" means

  • Commercial plan means a subcontracting plan (including goals) that covers the offeror’s fiscal year and that applies to the entire production of commercial items sold by either the entire company or a portion thereof (e.g., division, plant, or product line).

  • Regional health planning agency means the regional agency, including the regional health planning

  • Retiree Health Plan means an "employee welfare benefit plan" within the meaning of Section 3(1) of ERISA that provides benefits to individuals after termination of their employment, other than as required by Section 601 of ERISA.

  • Mental health professional means a psychiatrist,

  • Mental health facility means a mental health facility as defined by the Inpatient Mental Health Treatment of Children Act;

  • Behavioral health means the promotion of mental health, resilience and wellbeing; the treatment of mental and substance use disorders; and the support of those who experience and/or are in recovery from these conditions, along with their families and communities.

  • Digital Health refers to the use of digital and virtual tools, products, technologies, data, and services that enable improved patient experience and population health outcomes, care quality, access, integration, coordination, and system sustainability when they are leveraged by patients, providers and integrated care teams;

  • Health Plans means any and all individual and family health and hospitalization insurance and/or self-insurance plans, medical reimbursement plans, prescription drug plans, dental plans and other health and/or wellness plans.