North Dakota Code 26.1-36.9-01 – Definitions
As used in this chapter:
Terms Used In North Dakota Code 26.1-36.9-01
- 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.
- Individual: means a human being. See North Dakota Code 1-01-49
- Organization: includes a foreign or domestic association, business trust, corporation, enterprise, estate, joint venture, limited liability company, limited liability partnership, limited partnership, partnership, trust, or any legal or commercial entity. See North Dakota Code 1-01-49
- State: when applied to the different parts of the United States, includes the District of Columbia and the territories. See North Dakota Code 1-01-49
1. “Dental benefit plan” means a benefits plan that pays or provides dental expense benefits for covered dental services and is delivered through a dental insurer.
2. “Dental insurer” means a dental insurance company, dental service corporation, or dental plan organization authorized to provide dental benefits.
3. “Dental provider” means a licensed provider of dental services in this state.
4. “Dental services” means services for the diagnosis, prevention, treatment, or cure of a dental condition, illness, injury, or disease.
5. “Prior authorization” means confirmation by the covered individual‘s dental benefit plan that the services sought to be provided by the dental provider meet the criteria for coverage under the covered individual’s dental benefit plan as defined by the covered individual’s dental benefit plan.