376.1575. Definitions.

250 words·~1 min read·/mo/chapter-376/376-1575

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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.