Indiana Code 27-8-11-1. Definitions
(b) “Credentialing” means a process through which an insurer makes a determination:
Terms Used In Indiana Code 27-8-11-1
- 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.
- 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.
(2) concerning whether a provider is eligible to:
(A) provide health care services to an insured; and
(B) receive reimbursement for the health care services;
under an agreement entered into between the provider and the insurer under section 3 of this chapter.
(c) “Health care services”:
(1) means health care related services or products rendered or sold by a provider within the scope of the provider’s license or legal authorization; and
(2) includes hospital, medical, surgical, dental, vision, and pharmaceutical services or products.
(d) “Insured” means an individual entitled to reimbursement for expenses of health care services under a policy issued or administered by an insurer.
(e) “Insurer” means an insurance company authorized in this state to issue policies that provide reimbursement for expenses of health care services.
(f) “Person” means an individual, an agency, a political subdivision, a partnership, a corporation, an association, or any other entity.
(g) “Preferred provider plan” means an undertaking to enter into agreements with providers relating to terms and conditions of reimbursements for the health care services of insureds, members, or enrollees relating to the amounts to be charged to insureds, members, or enrollees for health care services.
(h) “Provider” means an individual or entity duly licensed or legally authorized to provide health care services.
As added by P.L.140-1984, SEC.1. Amended by P.L.31-1988, SEC.22; P.L.26-2005, SEC.1.