Terms Used In Kansas Statutes 40-2,117

  • Contract: A legal written agreement that becomes binding when signed.
  • Contracting facility: means a health facility that has entered into a contract with a service corporation to provide services to subscribers of the service corporation. See Kansas Statutes 40-2,116
  • Contracting professional provider: means a professional provider who has entered into a contract with a service corporation to provide services to subscribers of the service corporation. See Kansas Statutes 40-2,116
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Professional provider: means a provider, other than a contracting facility, of services for which benefits are provided under contracts issued by a service corporation. See Kansas Statutes 40-2,116
  • Service corporation: means a nonprofit medical and hospital service corporation organized under the provisions of Kan. See Kansas Statutes 40-2,116

Whenever a professional provider provides services or otherwise renders care to a subscriber of a service corporation under arrangements which such professional provider has established with a contracting facility, and the subscriber does not have a choice of obtaining those services from a contracting professional provider, the professional provider rendering those services shall accept the service corporation‘s allowable charge level as full payment and may bill the subscriber only for deductibles, coinsurance, shared payments and noncovered services as stipulated in the contract between the subscriber and the service corporation.