Sec. 24. "Participating provider" means a provider who, under an express or implied contract with:
(1) the health maintenance organization; or
(2) a contractor of the health maintenance organization or any subcontractor of a contractor of the health maintenance organization;
has agreed to provide health care services to enrollees with an expectation of directly or indirectly receiving payment, other than copayment or deductible, from the health maintenance organization.
As added by P.L.26-1994, SEC.25. Amended by P.L.195-1996, SEC.1.
Structure Indiana Code
Article 13. Health Maintenance Organizations
27-13-1-1. Applicability of Definitions
27-13-1-4. "Basic Health Care Services"
27-13-1-10. "Covered by a Health Maintenance Organization"
27-13-1-11.5. "Dialysis Facility"
27-13-1-13. "Evidence of Coverage"
27-13-1-13.5. "Experimental Treatment"
27-13-1-14. "Extension of Benefits"
27-13-1-17. "Group Contract Holder"
27-13-1-18. "Health Care Services"
27-13-1-19. "Health Maintenance Organization"
27-13-1-20. "In-Plan Covered Services"
27-13-1-21. "Individual Contract"
27-13-1-21.3. "Insurance Producer"
27-13-1-21.5. "Managed Hospital Payment Basis"
27-13-1-23. "Out-of-Plan Covered Services"
27-13-1-24. "Participating Provider"
27-13-1-26. "Point-of-Service Product"
27-13-1-27. "Limited Service Health Maintenance Organization"
27-13-1-27.5. "Primary Care Provider"
27-13-1-28.5. "Quality Assurance"
27-13-1-30. "Replacement Coverage"