Indiana Code 27-1-46-5. “Network”
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Sec. 5. (a) As used in this chapter, “network” means a group of provider facilities and practitioners that:
(2) have agreed to, or are otherwise subject to, maximum limits on the prices for the health care services to be provided to the covered individuals.
(1) provide health care services to covered individuals; and
Terms Used In Indiana Code 27-1-46-5
- Contract: A legal written agreement that becomes binding when signed.
- insurer: means a company, firm, partnership, association, order, society or system making any kind or kinds of insurance and shall include associations operating as Lloyds, reciprocal or inter-insurers, or individual underwriters. See Indiana Code 27-1-2-3
- network: means a group of provider facilities and practitioners that:
Indiana Code 27-1-46-5
- provider: means :
Indiana Code 27-1-46-9
(b) The term includes the following:
(1) A network described in subsection (a) that is established pursuant to a contract between an insurer providing coverage under a group health policy and:
(A) individual provider facilities and practitioners;
(B) a preferred provider organization; or
(C) an entity that employs or represents providers, including:
(i) an independent practice association; and
(ii) a physician-hospital organization.
(2) A health maintenance organization, as defined in IC 27-13-1-19.
As added by P.L.93-2020, SEC.12.