Provider Organization means a group practice, facility, or organization that is:
Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:
Health maintenance organization means a person licensed pursuant to Chapter 43 (§ 38.2-4300 et
Basic health care services means in and out-of-area emergency services, inpatient hospital and
Accreditation means accreditation as defined in point 10 of Article 2 of Regulation (EC) No 765/2008;
Managed Care Organization (MCO) means a contracted health delivery system providing capitated or prepaid health services, also known as a Prepaid Health Plan (PHP). An MCO is responsible for providing, arranging, and making reimbursement arrangements for covered services as governed by state and federal law. An MCO may be a Chemical Dependency Organization (CDO), Dental Care Organization (DCO), Mental Health Organization (MHO), or Physician Care Organization (PCO).
Health care provider or "provider" means:
national accreditation body means national accreditation body as defined in point 11 of Article 2 of Regulation (EC) No 765/2008;
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 services means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.
Labor organization means any organization of any kind, or any agency or employee representation committee or plan, in which employees participate and that exists for the purpose, in whole or in part, of dealing with employers concerning grievances, labor disputes, wages, rates of pay, hours of employment, or conditions of work.
Public health authority means an agency or authority of the United States, a state, a territory, a political subdivision of a state or territory, an Indian tribe, or a foreign government, or a person or entity acting under a grant of authority from or contract with such public agency, including the employees or agents of such public agency or its contractors or persons or entities to whom it has granted authority, that is responsible for public health matters as part of its official mandate.