Terms Used In Ohio Code 1751.28

• Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
• Basic health care services: means the following services when medically necessary:

  (a) Physician's services, except when such services are supplemental under division (B) of this section;

  (b) Inpatient hospital services;

  (c) Outpatient medical services;

  (d) Emergency health services;

  (e) Urgent care services;

  (f) Diagnostic laboratory services and diagnostic and therapeutic radiologic services;

  (g) Diagnostic and treatment services, other than prescription drug services, for biologically based mental illnesses;

  (h) Preventive health care services, including, but not limited to, voluntary family planning services, infertility services, periodic physical examinations, prenatal obstetrical care, and well-child care;

  (i) Routine patient care for patients enrolled in an eligible cancer clinical trial pursuant to section 3923. See Ohio Code 1751.01

• Corporation: means a corporation formed under Chapter 1701. See Ohio Code 1751.01
• 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.
• Health care services: means basic, supplemental, and specialty health care services. See Ohio Code 1751.01
• Health insuring corporation: means a corporation, as defined in division (H) of this section, that, pursuant to a policy, contract, certificate, or agreement, pays for, reimburses, or provides, delivers, arranges for, or otherwise makes available, basic health care services, supplemental health care services, or specialty health care services, or a combination of basic health care services and either supplemental health care services or specialty health care services, through either an open panel plan or a closed panel plan. See Ohio Code 1751.01
• Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
• Provider: means any natural person or partnership of natural persons who are licensed, certified, accredited, or otherwise authorized in this state to furnish health care services, or any professional association organized under Chapter 1785 of the Revised Code, provided that nothing in this chapter or other provisions of law shall be construed to preclude a health insuring corporation, health care practitioner, or organized health care group associated with a health insuring corporation from employing certified nurse practitioners, certified nurse anesthetists, clinical nurse specialists, certified nurse-midwives, pharmacists, dietitians, physician assistants, dental assistants, dental hygienists, optometric technicians, or other allied health personnel who are licensed, certified, accredited, or otherwise authorized in this state to furnish health care services. See Ohio Code 1751.01
• Provider sponsored organization: means a corporation, as defined in division (H) of this section, that is at least eighty per cent owned or controlled by one or more hospitals, as defined in section 3727. See Ohio Code 1751.01
• Specialty health care services: means one of the supplemental health care services listed in division (B) of this section, when provided by a health insuring corporation on an outpatient-only basis and not in combination with other supplemental health care services. See Ohio Code 1751.01
• Supplemental health care services: means any health care services other than basic health care services that a health insuring corporation may offer, alone or in combination with either basic health care services or other supplemental health care services, and includes:

  (a) Services of facilities for intermediate or long-term care, or both;

  (b) Dental care services;

  (c) Vision care and optometric services including lenses and frames;

  (d) Podiatric care or foot care services;

  (e) Mental health services, excluding diagnostic and treatment services for biologically based mental illnesses;

  (f) Short-term outpatient evaluative and crisis-intervention mental health services;

  (g) Medical or psychological treatment and referral services for alcohol and drug abuse or addiction;

  (h) Home health services;

  (i) Prescription drug services;

  (j) Nursing services;

  (k) Services of a dietitian licensed under Chapter 4759 of the Revised Code;

  (l) Physical therapy services;

  (m) Chiropractic services;

  (n) Any other category of services approved by the superintendent of insurance. See Ohio Code 1751.01