Nebraska Statutes 44-526. Health claim form; terms, defined
For purposes of the Standardized Health Claim Form Act:
Terms Used In Nebraska Statutes 44-526
- Ambulatory surgical facility: shall mean a facility, not a part of a hospital, which provides surgical treatment to patients not requiring hospitalization and which is licensed as a health clinic as defined by section Nebraska Statutes 44-526
- Company: shall include any corporation, partnership, limited liability company, joint-stock company, joint venture, or association. See Nebraska Statutes 49-801
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Department: shall mean the Department of Insurance. See Nebraska Statutes 44-103
- Health care: shall mean any treatment, procedure, or intervention to diagnose, cure, care for, or treat the effects of disease or injury or congenital or degenerative condition. See Nebraska Statutes 44-526
- Health care practitioner: shall mean an individual or group of individuals in the form of a partnership, limited liability company, or corporation licensed, certified, or otherwise authorized or permitted by law to administer health care in the course of professional practice and shall include the health care professions and occupations which are regulated in the Uniform Credentialing Act. See Nebraska Statutes 44-526
- Hospital: shall mean a hospital as defined by section Nebraska Statutes 44-526
- Institutional care providers shall mean all facilities licensed or otherwise authorized or permitted by law to administer health care in the ordinary course of business and shall: include all health care facilities defined in the Health Care Facility Licensure Act. See Nebraska Statutes 44-526
- Issuer: shall mean an insurance company, fraternal benefit society, health maintenance organization, third-party administrator, or other entity reimbursing the costs of health care expenses. See Nebraska Statutes 44-526
- Medicaid: shall mean the medical assistance program pursuant to the Medical Assistance Act. See Nebraska Statutes 44-526
- Medicare: shall mean Title XVIII of the federal Social Security Act, Nebraska Statutes 44-526
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
- Uniform claim form: shall mean the claim forms and electronic transfer procedures developed pursuant to section Nebraska Statutes 44-526
(1) Ambulatory surgical facility shall mean a facility, not a part of a hospital, which provides surgical treatment to patients not requiring hospitalization and which is licensed as a health clinic as defined by section 71-416 but shall not include the offices of private physicians or dentists whether for individual or group practice;
(2) Health care shall mean any treatment, procedure, or intervention to diagnose, cure, care for, or treat the effects of disease or injury or congenital or degenerative condition;
(3) Health care practitioner shall mean an individual or group of individuals in the form of a partnership, limited liability company, or corporation licensed, certified, or otherwise authorized or permitted by law to administer health care in the course of professional practice and shall include the health care professions and occupations which are regulated in the Uniform Credentialing Act;
(4) Hospital shall mean a hospital as defined by section 71-419 except state hospitals administered by the Department of Health and Human Services;
(5) Institutional care providers shall mean all facilities licensed or otherwise authorized or permitted by law to administer health care in the ordinary course of business and shall include all health care facilities defined in the Health Care Facility Licensure Act;
(6) Issuer shall mean an insurance company, fraternal benefit society, health maintenance organization, third-party administrator, or other entity reimbursing the costs of health care expenses;
(7) Medicaid shall mean the medical assistance program pursuant to the Medical Assistance Act;
(8) Medicare shall mean Title XVIII of the federal Social Security Act, 42 U.S.C. § 1395 et seq., as amended; and
(9) Uniform claim form shall mean the claim forms and electronic transfer procedures developed pursuant to section 44-527.