Tex.
Ins. Code Section 1452.151
Definitions
(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.
Source:
Section 1452.151 — Definitions, https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1452.htm#1452.151 (accessed Jun. 5, 2024).
