Section 376.1575

Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS

Chapter 376

Effective - 28 Aug 2022, 2 histories   

  376.1575.  Definitions. — As used in sections 376.1575 to 376.1580^*, the following terms shall mean:

  (1)  "Completed application", a practitioner's application to a health carrier that seeks the health carrier's authorization for the practitioner to provide patient care services as a member of the health carrier's network and does not omit any information which is clearly required by the application form and the accompanying instructions;

  (2)  "Credentialing", a health carrier's process of assessing and validating the qualifications of a practitioner to provide patient care services and act as a member of the health carrier's provider network;

  (3)  "Health carrier", the same meaning as such term is defined in section 376.1350.  The term health carrier shall also include any entity described in subdivision (4) of section 354.700;

  (4)  "Practitioner":

  (a)  A physician or physician assistant eligible to provide treatment services under chapter 334;

  (b)  A pharmacist eligible to provide services under chapter 338;

  (c)  A dentist eligible to provide services under chapter 332;

  (d)  A chiropractor eligible to provide services under chapter 331;

  (e)  An optometrist eligible to provide services under chapter 336;

  (f)  A podiatrist eligible to provide services under chapter 330;

  (g)  A psychologist or licensed clinical social worker eligible to provide services under chapter 337; or

  (h)  An advanced practice nurse eligible to provide services under chapter 335.

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(L. 2013 S.B. 262, A.L. 2022 S.B. 710)

*Section 376.1580 does not exist.