Health plan company definition

Health plan company means (1) a nonprofit health service plan corporation operating under chapter 62C; (2) a health maintenance organization operating under chapter 62D; (3) a community integrated service network operating under chapter 62N; or (4) a managed care organization operating under chapter 256B or 256L.
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Health plan company means: a health maintenance organization, a limited service health organization, and/or a defined network plan as defined in North Dakota Century Code Chapter 26.1; a health plan company and/or a managed care organization as defined in Minnesota Statutes Section 62Q.0l and 62Q.733.
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Health plan company means a health carrier as defined under section 62A.011, subdivision 2. (h) "Hospital" means an entity licensed under sections 144.50 to 144.58.
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Examples of Health plan company in a sentence

  • Health plan company and CCMI benefits are determined after the determination of benefits of any other plan of insurance, health coverage, workers’ compensation, liability insurance, no-fault auto insurance, or other insurance to which the Enrollee may be entitled.

  • Health plan company retains the right of final verification of eligibility.

  • Health plan company" has the meaning provided in section 62Q.01, subdivision 4.

  • Health plan company and health plan participation and availability.


More Definitions of Health plan company

Health plan company means: a health carrier as defined in Nebraska Statutes § 44- 7103(12); a health plan company and/or a managed care organization as defined in Minnesota Statutes Section 62Q.0l and 62Q.733.
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Health plan company means a health plan company and/or a managed care organization or discount medical plan as those terms are defined in South Dakota Statutes §§ 17C and 17E, and Minnesota Statutes § 62Q.01 and 62Q.733.
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Health plan company means (i) a nonprofit health service plan corporation operating under chapter 62C;
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Health plan company means: a carrier as defined in Iowa Code § 513B.2; an organized delivery system as defined in Iowa Administrative Code Chapter 201, a health plan company and/or a managed care organization as defined in Minnesota Statutes Section 62Q.0l and 62Q.733.
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Related to Health plan company

  • 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.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Health carrier or "carrier" means a disability insurer

  • 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.

  • Home Health Care means the continual care and treatment of an individual if:

  • Health care entity means any health care provider, health plan or health care clearinghouse.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Orthodontic means a type of specialist dental treatment carried out by an orthodontist that diagnoses, prevents and corrects mispositioned teeth and jaws and misaligned bite patterns.

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Health Service Provider means a body corporate with perpetual succession established under subsection 32(1)(b) of the Health Services Act 2016 (WA).

  • CMS means the Centers for Medicare and Medicaid Services.

  • Pharmacy benefits management means the administration or management of prescription drug

  • Health care means any of the following intended for use in the diagnosis, treatment, mitigation, or prevention of a human ailment or impairment:

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Health care provider or "provider" means:

  • 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.

  • Insurance Company The Transferee is an insurance company whose primary and predominant business activity is the writing of insurance or the reinsuring of risks underwritten by insurance companies and which is subject to supervision by the insurance commissioner or a similar official or agency of a state, U.S. territory or the District of Columbia.