Health care payer definition

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, and that either:

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 workers’ compensation 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 benefits manager, that administers a fully funded plan:

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 produc t; and .

• 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 .

• Definitions.--As used in this article the3 following words and phrases shall have the meanings given to4 them in this section:5 "Health care benefit plan." An insurance policy, contract or6 plan that provides health care to participants or beneficiaries7 directly or through insurance, reimbursement or otherwise.8 "Health care payer." An individual or entity that is9 responsible for providing or paying for all or part of the cost10 of health care services covered by a health care benefit plan.

• Health care payer does not include an insurer that provides coverage35under a policy of casualty or property insurance.36"Health care provider" has the same meaning as defined in §33-41-2 of this code.

More Definitions of Health care payer

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 .

Health care payer means any employer, health plan, health maintenance organization, insurance

Health care payer means an employer, health plan, health maintenance organization,

Health care payer means any employer, health plan, health main-

Health care payer means any employer, health care plan, health maintenance

Health care payer means any entity or employer that contracts for, pays for, or

Health care payer or "payer" means an entity or employer