Health care payer definition

Health care payer means a health maintenance organization,
Health care payer means any entity that pays or administers the payment of health insurance claims or medical claims under workerscompensation insurance to providers in this state, including workers’ compensation insurers; accident and sickness insurers; nonprofit hospital service corporations, medical service corporations and dental service organizations; nonprofit health service corporations; prepaid limited health service organizations; health maintenance organizations; and government payers, including but not limited to Medicaid, Medicare and the public employees insurance agency; the term also includes any third-party administrator including any pharmacy benefit manager, that administers a fully-funded or self- funded plan:
Health care payer means a health maintenance

Examples of Health care payer in a sentence

  • Health insurance industry Health care payer systems and markets throughout the world are tailored to the type of government, regulatory structure, market- place, health care philosophy, and national infrastructure.

  • Health care payer" means a health maintenance organization, insurance company, management services organization, or any other entity that pays for or arranges for the payment of any health care or medical care service, procedure, or product ; and .


More Definitions of Health care payer

Health care payer means any employer, health plan, health maintenance organization, insurance company, management services organization, or any other entity that pays for, or arranges for the payment of, any health care service provided to any patient, whether that payment is made in whole or in part.
Health care payer or "payer" means an entity or employer
Health care payer means any entity or employer that contracts for, pays for, or arranges for the payment of, in whole or in part, a health-care service, including, but not limited to, health maintenance organizations, health plans, insurance companies or management services organizations.
Health care payer means any employer, health maintenance organization, health
Health care payer or "payer" means an individual,
Health care payer means any insurer or health maintenance organization licensed in this state that pays medical benefits pursuant to a policy, certificate or contract of health; any state and federal government payers of such benefits; or any third-party administrator that administers a self-funded health insurance plan. For the purposes of this rule, “health care payer” does not include workerscompensation payers.