Delegated Entity means an entity, other than a health maintenance organization authorized to engage in business under Chapter843, that by itself, or through subcontracts with one or more entities, undertakes to arrange for or provide medical care or health care to an enrollee in exchange for a predetermined payment on a prospective basis and that accepts responsibility for performing on behalf of the health maintenance organization a function regulated by this chapter, Chapter 222, 251, or 258, as applicable to a health maintenance organization, Chapter 843 or 1271, Section 1367.053, Subchapter A, Chapter 1452, or Subchapter B, Chapter 1507. The term does not include:

Delegated Entity means any party that enters into an agreement with Plan to provide administrative services or health care services to qualified individuals, qualified employers, or qualified employees and their dependents. Provider is a Delegated Entity.

Examples of Delegated Entity in a sentence

No such subcontract, delegation or assignment to any Delegated Entity shall relieve Licensor of responsibility for the due and full performance hereof.
Licensor shall be liable to Licensee for all acts and omissions of any Delegated Entity in performing any duties hereunder.
Licensor may subcontract, delegate or assign any its rights or subcontract or delegate any of its duties or obligations hereunder to any entity with which it is affiliated, related or shares common ownership (a “Delegated Entity”), and Licensee agrees to allocate or pay any compensation owed or accrued to Licensor under Section 2 to any Delegated Entity as directed by Licensor.
Company shall make a good faith effort to include in contracts entered into with Delegated Entities subsequent to the Final Order Date terms that are substantially equivalent to the terms of this Agreement; provided that Company shall not be liable under this Agreement in the event any Delegated Entity acts in a manner inconsistent with the terms of this Agreement.
VENDOR shall immediately notify HMO in writing if VENDOR receives notices or becomes aware that it or any of its employees or contractors, or a Delegated Entity or any Delegated Entity’s employees or contractors are targeted for any proceeding or investigation by governmental authorities under the Medicare Program or if any such proceedings or investigation is initiated.

More Definitions of Delegated Entity

Delegated Entity means an entity that is not an Affiliate of Company to the extent that such entity (i) maintains its own contracts with Physicians separate from any contracts between Company and Physicians, and, by agreement with Company, (ii) (A) agrees to provide Plan Members with access to such Physicians pursuant to the terms of such agreements; and (B) performs some or all of the functions with respect to Plans which otherwise would be performed by Company, including without limitation claims adjudication, utilization review, utilization management and Physician credentialing.

Delegated Entity means a First Tier Entity with whom HPSM has contracted to perform specified delegated functions on HPSM’s behalf in accordance with state, local, and federal laws, rules, and guidelines, as well as in accordance with HPSM policies and procedures.

Delegated Entity. - means a local government (or other governmental entity such as a tribal

Delegated Entity means an entity, other than a health maintenance organization authorized to engage in business under this chapter, that by itself, or through subcontracts with one or more entities, undertakes to arrange for or provide medical care or health care to an enrollee in exchange for a predetermined payment on a prospective basis and that accepts responsibility for performing on behalf of the health maintenance organization a function regulated by this chapter or Chapter 20A. The term does not include:

Delegated Entity means a legal or natural person accredited and under continuous assessment by a competent aviation authority, which may conduct certain certification or oversight tasks under this Regulation;

Delegated Entity means any party that enters into an agreement with a qualified health plan (“QHP”) issuer to provide administrative services or health care services to qualified individuals and their dependents.