§ 23-99-702 — Definitions

As used in this subchapter: (1) "Commissioner" means the Insurance Commissioner; (2) [Repealed.] (3) "Healthcare services" means any services included in the furnishing to any individual of medical or dental care, hospitalization, or services incident to the furnishing of care or hospitalization, as well as the furnishing to any person of any and all other services or goods for the purpose of preventing, alleviating, curing, or healing human illness or injury; (4) "Health carrier" means any person who undertakes to provide or arrange for one (1) or more managed care plans; (5) "Managed care plan" means any arrangement whereby a health carrier undertakes to provide, arrange for, pay for, or reimburse any part of the cost of any healthcare services, and at least part of the arrangement consists of arranging for or the provision of healthcare services as distinguished from mere indemnifications against the cost of the healthcare services on a prepaid basis through insurance or otherwise; and (6) "Network" when used to describe a provider of health services, including, but not limited to, a hospital, physician, home health agency, pharmacy, etc., means that the provider has a participation agreement in effect with a health carrier, directly or through another entity, to provide health services to covered persons.

Legislative History

Amended by Act 2019, No. 910,§ 5109, eff. 7/1/2019. Acts 1999, No. 1200, § 2.