§ 215 ILCS 5/370f Short Title
§ 215 ILCS 5/370g Definitions
§ 215 ILCS 5/370h Noninstitutional providers
§ 215 ILCS 5/370i Policies, agreements or arrangements with incentives or limits on reimbursement authorized
§ 215 ILCS 5/370j Requirements not applicable to insurers
§ 215 ILCS 5/370k Registration
§ 215 ILCS 5/370l Fiduciary and bonding requirements
§ 215 ILCS 5/370m Program Requirements
§ 215 ILCS 5/370n Utilization Review Requirements: Any preferred provider organization …
§ 215 ILCS 5/370o Emergency Care
§ 215 ILCS 5/370p Failure to register
§ 215 ILCS 5/370q To the extent of any conflict between this Article and any other …
§ 215 ILCS 5/370s Managed Care Reform and Patient Rights Act
§ 215 ILCS 5/370t Drug formulary; notice

Terms Used In Illinois Compiled Statutes > 215 ILCS 5 > Article XX-1/2 - Health Care Reimbursement

  • Administrator: means any person, partnership or corporation, other than an insurer or health maintenance organization holding a certificate of authority under the "Health Maintenance Organization Act" as now or hereafter amended, that arranges, contracts with, or administers contracts with a provider whereby beneficiaries are provided an incentive to use the services of such provider. See Illinois Compiled Statutes 215 ILCS 5/370g
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Beneficiary: means an individual entitled to reimbursement for expenses of or the discount of provider fees for health care services under a program where the beneficiary has an incentive to utilize the services of a provider which has entered into an agreement or arrangement with an administrator. See Illinois Compiled Statutes 215 ILCS 5/370g
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • 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.
  • Dependent: A person dependent for support upon another.
  • Fiduciary: A trustee, executor, or administrator.
  • Health care services: means health care services or products rendered or sold by a provider within the scope of the provider's license or legal authorization. See Illinois Compiled Statutes 215 ILCS 5/370g
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • individual: shall include every infant member of the species homo sapiens who is born alive at any stage of development. See Illinois Compiled Statutes 5 ILCS 70/1.36
  • Insured: means an individual entitled to reimbursement for expenses of health care services under a policy or subscriber contract issued or administered by an insurer. See Illinois Compiled Statutes 215 ILCS 5/370g
  • Insurer: means an insurance company or a health service corporation authorized in this State to issue policies or subscriber contracts which reimburse for expenses of health care services. See Illinois Compiled Statutes 215 ILCS 5/370g
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Provider: means an individual or entity duly licensed or legally authorized to provide health care services. See Illinois Compiled Statutes 215 ILCS 5/370g
  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14