Tex. Ins. Code Section 1452.151

In this subchapter:


“Applicant podiatrist” means a podiatrist applying for expedited credentialing under this subchapter.


“Enrollee” means an individual who is eligible to receive health care services under a managed care plan.


“Health care provider” means:


an individual who is licensed, certified, or otherwise authorized to provide health care services in this state; or


a hospital, emergency clinic, outpatient clinic, or other facility providing health care services.


“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 health maintenance organization;


a preferred provider benefit plan issuer; or


any other entity that issues a health benefit plan, including an insurance company.


“Participating provider” means a health care provider who has contracted with a health benefit plan issuer to provide services to enrollees.


“Professional practice” means a business entity that is owned by one or more podiatrists or physicians.
Added by Acts 2013, 83rd Leg., R.S., Ch. 79 (S.B. 365), Sec. 1, eff. September 1, 2013.

Source: Section 1452.151 — Definitions, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1452.­htm#1452.­151 (accessed Dec. 2, 2023).

Dec. 2, 2023

§ 1452.151’s source at texas​.gov