Delaware Code > Title 16 > Chapter 103 > Subchapter II – The Delaware Health Care Claims Database
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Terms Used In Delaware Code > Title 16 > Chapter 103 > Subchapter II - The Delaware Health Care Claims Database
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Appraisal: A determination of property value.
- Board: means the Delaware Health Information Network Board of Directors. See Delaware Code Title 16 Sec. 10312
- Claims data: includes required claims data and additional health-care claims information that a voluntary reporting entity may elect, through entry into an appropriate data submission and use agreement under this subchapter, to submit to the Delaware Health Care Claims Database. See Delaware Code Title 16 Sec. 10312
- Contract: A legal written agreement that becomes binding when signed.
- Deed: The legal instrument used to transfer title in real property from one person to another.
- Department: means the Department of Transportation. See Delaware Code Title 17 Sec. 101
- Dependent: A person dependent for support upon another.
- DHIN: means the Delaware Health Information Network. See Delaware Code Title 16 Sec. 10312
- Division: means the Division of Public Health. See Delaware Code Title 16 Sec. 101
- Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
- Health insurer: means as defined in § 4004 of Title 18. See Delaware Code Title 16 Sec. 10312
- Health-care services: means as defined in § 6403 of Title 18. See Delaware Code Title 16 Sec. 10312
- highway: include any public way or road or portion thereof and any sewer, drain or drainage system connected therewith and any bridge, culvert, viaduct or other construction or artificial way used in connection therewith and anything which is accessory to any of the same or to the use thereof. See Delaware Code Title 17 Sec. 101
- Mandatory reporting entity: means each of the following entities, to the extent permitted under federal law:
- Pricing information: includes all of the following:
- Provider: includes a hospital or health-care practitioner participating in a group arrangement, including an accountable care organization, in which the hospital or health-care practitioner agrees to assume responsibility for the quality and cost of health care for a designed group of beneficiaries. See Delaware Code Title 16 Sec. 10312
- Reporting date: means a calendar deadline that is scheduled on a regularly recurring basis, by which a mandatory reporting entity must submit required claims data to the Delaware Health Care Claims Database. See Delaware Code Title 16 Sec. 10312
- Required claims data: includes the basic claims information that a mandatory reporting entity must submit to the Delaware Health Care Claims Database by the reporting date, including all of the following:
- State: means the State of Delaware; and when applied to different parts of the United States, it includes the District of Columbia and the several territories and possessions of the United States. See Delaware Code Title 1 Sec. 302
- State highway: includes any road or highway or portion thereof which the Department has constructed or of which the Department has taken or assumed control or jurisdiction. See Delaware Code Title 17 Sec. 101
- Third-party administrator: means as defined in § 102 of Title 18. See Delaware Code Title 16 Sec. 10312
- Voluntary reporting entity: includes , except as prohibited under applicable federal law, any of the following entities, unless the entity is a mandatory reporting entity:
- Year: means a calendar year, and is equivalent to the words "year of our Lord. See Delaware Code Title 1 Sec. 302