Section 1452.151 - Definitions In this subchapter:
(1) "Applicant podiatrist" means a podiatrist applying for expedited credentialing under this subchapter.(2) "Enrollee" means an individual who is eligible to receive health care services under a managed care plan.(3) "Health care provider" means: (A) an individual who is licensed, certified, or otherwise authorized to provide health care services in this state; or(B) a hospital, emergency clinic, outpatient clinic, or other facility providing health care services.(4) "Managed care plan" means a health benefit plan under which health care services are provided to enrollees through contracts with health care providers and that requires enrollees to use participating providers or that provides a different level of coverage for enrollees who use participating providers. The term includes a health benefit plan issued by:(A) a health maintenance organization;(B) a preferred provider benefit plan issuer; or(C) any other entity that issues a health benefit plan, including an insurance company.(5) "Participating provider" means a health care provider who has contracted with a health benefit plan issuer to provide services to enrollees.(6) "Professional practice" means a business entity that is owned by one or more podiatrists or physicians.Tex. Ins. Code § 1452.151
Added by Acts 2013, 83rd Leg. - Regular Session, ch. 79,Sec. 1, eff. 9/1/2013.