Healthcare Payor definition

Healthcare Payor means “Healthcare Payor” as defined by Ark. Code Ann. §23- 92-503(3):
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Healthcare Payor means the state or any health insurance company, health maintenance organization, or managed care organization contracted with the state to provide, arrange, or pay for medical assistance provided under this chapter;
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Healthcare Payor means any Federal Healthcare Program or other governmental, commercial, private or other third-party payor that provides reimbursement for professional services rendered to a patient of the Company or any of its Subsidiaries.
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Examples of Healthcare Payor in a sentence

  • The arbitrator(s) will be selected from the AAA National Healthcare Roster (as described in the AAA Healthcare Payor Provider Arbitration Rules) or the AAA’s National Roster of Arbitrators (as described the AAA Commercial Arbitration Rules and Mediation Procedures).

  • Such arbitration shall be conducted in accordance with the Healthcare Payor Provider Arbitration Rules of the American Arbitration Association.

  • Any language in the provisions of this Rule referring or referencing requirements of an insurer, healthcare insurer, or HMO shall include health benefit plans issued or delivered by a Healthcare Payor.

  • In addition, the Commissioner may examine the affairs of a Healthcare Payor subject to the requirements of Section 7 of this Rule.

  • The arbitrators will use the AAA Healthcare Payor Provider Arbitration Rules, as amended.

  • Many of the larger health systems have continued to increase in size through mergers and acquisitions.785\90\221006(pptx)-E212 Healthcare Payor Consolidation, 1992 – Present IV.

  • The Parties agree that the arbitration shall be governed by the AAA Healthcare Payor Provider Arbitration Rules in effect at the time of the proceeding except where such rules conflict with the agreed rules set forth herein, in which case the rules of this Exhibit A shall control.

  • So the studies capture none of the risks of eliminating the pre-abortion, in-person visit.

  • NPPES Search – the NPPES search will return:•Current Practice Address – displays practice address•Current License Info – displays licenses found•Current Healthcare Payor Info – displays payors found State Licenses: View the provider’s state licenses by state, number and last date updated.•Primary Source Links – click on the magnification glass to access state primary source sites.

  • The arbitrators(s) will be selected from the AAA National Healthcare Roster (as described in the AAA Healthcare Payor Provider Arbitration Rules) or the AAA’s National Roster of Arbitrators (as described the AAA Commercial Arbitration Rules and Mediation Procedures).


More Definitions of Healthcare Payor

Healthcare Payor means an entity that reimburses a physician for the delivery of healthcare services that
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Healthcare Payor means the state or any health insurance company, health maintenance organization, or managed care organization using an alternative payment system; and
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Healthcare Payor means the state or any health insurance entity, as defined in § 56-7-109, using an alternative payment system;
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Related to Healthcare Payor

  • Healthcare provider means any person or entity including a hospital, physician or a network of providers that provided healthcare services and/or treatments to or on behalf of a Settlement Program Claimant.

  • Healthcare services means any services included in the furnishing to any individual of medical, podiatric, or dental care, or hospitalization, or incident to the furnishing of that care or hospitalization, and the furnishing to any person of any and all other services for the purpose of preventing, alleviating, curing, or healing human illness, injury, or physical disability. Medically Necessary means medical, surgical, or other services required for the prevention, diagnosis, cure, or treatment of a health-related condition, including such services necessary to prevent a decremental change in either medical or mental health status. Originating Site means a site at which a patient is located at the time Healthcare Services are provided to them by means of telemedicine, which can be include a patient's home where Medically Necessary and Clinically Appropriate. Store-and-forward Technology means the technology used to enable the transmission of a patient's medical information from an Originating Site to the Healthcare Provider at the Distant Site without the patient being present. Telemedicine means the delivery of clinical Healthcare Services by use of real time, two-way synchronous audio, video, telephone-audio-only communications or electronic media or other telecommunications technology including, but not limited to: online adaptive interviews, remote patient monitoring devices, audiovisual communications, including the application of secure video conferencing and store-and-forward technology to provide or support healthcare delivery, which facilitate the assessment, diagnosis, counseling and prescribing treatment, and care management of a patient’s health care while such patient is at an Originating Site and the Healthcare Provider is at a Distant Site, consistent with applicable federal laws and regulations. “Telemedicine” does not include an email message or facsimile transmission between a Provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions. General Requirements

  • Healthcare Professional means any member of the medical, dental, pharmacy or nursing professions or any other person who in the course of his or her professional activities may prescribe, recommend, purchase, supply, or administer a pharmaceutical product.

  • Health care provider or "provider" means:

  • Healthcare shall have the meaning set forth in the introductory paragraph hereof.

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

  • COVERED HEALTHCARE SERVICES means any service, treatment, procedure, facility, equipment, drug, device, or supply that we have reviewed and determined is eligible for reimbursement under this plan.

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

  • 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 services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

  • Health care professional means a physician or other health care practitioner licensed, accredited, registered, or certified to perform specified health care services consistent with state law.

  • Health care practitioner means an individual or firm licensed or certified to engage actively in a regulated health profession.

  • Indian Health Care Provider means a health care program

  • Child Care Program means a person or business that offers child care.

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

  • Health care corporation means a health care corporation incorporated under the nonprofit health care corporation reform act, 1980 PA 350, MCL 550.1101 to 550.1704.

  • Federal Health Care Program means any “federal health care program” as defined in 42 U.S.C. § 1320a-7b(f), including Medicare, state Medicaid programs, state CHIP programs, TRICARE and similar or successor programs with or for the benefit of any Governmental Authority.

  • Family child care provider means a person who: (a) Provides

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Healthcare Facility means that portion of the Project operated on the Land as a Nursing Home, Intermediate Care Facility, Board and Care Home, Assisted Living Facility, and/or any other healthcare facility authorized to receive mortgage insurance pursuant to Section 232 of the National Housing Act, as amended, including any commercial space included in the facility.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Healthcare Laws has the meaning provided in Section 5.19(a).

  • Psychiatric hospital means an Institution constituted, licensed, and operated as set forth in the laws that apply to Hospitals, which meets all of the following requirements:

  • Health services means, but shall not be limited to, examination, diagnosis, evaluation, treatment, pharmaceuticals, aftercare, habilitation or rehabilitation and mental health therapy of any kind, as well as payment or reimbursement for any such services.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Health care organization ’ means any person or en-