Terms Used In Indiana Code > Title 27 > Article 1 > Chapter 48 - Health Plan Notices

• Contract: A legal written agreement that becomes binding when signed.
• covered individual: means an individual who is entitled to coverage under a health plan. See Indiana Code 27-1-48-1
• CPT code: refers to the medical billing code that applies to a specific health care service, as published in the Current Procedural Terminology code set maintained by the American Medical Association. See Indiana Code 27-1-48-2
• Dependent: A person dependent for support upon another.
• health care service: means a health care related service or product rendered or sold by a health care provider within the scope of the health care provider's license or legal authorization, including hospital, medical, surgical, mental health, and substance abuse services or products. See Indiana Code 27-1-48-3
• health plan: means any of the following that provides coverage for health care services:

  Indiana Code 27-1-48-4

• Insurance: means a contract of insurance or an agreement by which one (1) party, for a consideration, promises to pay money or its equivalent or to do an act valuable to the insured upon the destruction, loss or injury of something in which the other party has a pecuniary interest, or in consideration of a price paid, adequate to the risk, becomes security to the other against loss by certain specified risks; to grant indemnity or security against loss for a consideration. See Indiana Code 27-1-2-3
• 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
• participating provider: refers to the following:

  Indiana Code 27-1-48-5

• person: includes individuals, corporations, associations, and partnerships; personal pronoun includes all genders; the singular includes the plural and the plural includes the singular. See Indiana Code 27-1-2-3
• prior authorization: means a practice implemented by a health plan through which coverage of a health care service is dependent on the covered individual or health care provider obtaining approval from the health plan before the health care service is rendered. See Indiana Code 27-1-48-6
• Year: means a calendar year, unless otherwise expressed. See Indiana Code 1-1-4-5