Arkansas Code Title 23. Public Utilities and Regulated Industries § 23-99-403. Definitions

(1) “Acute condition” means a medical condition, illness, or disease having a short and relatively severe course;

(2) “Commissioner” means the Insurance Commissioner;

(3) “Covered person” means a person on whose behalf the healthcare insurer issuing or delivering the health benefit plan is obligated to pay benefits pursuant to the health benefit plan;

(5) “Healthcare insurer” or “insurer” means any insurance company, hospital and medical service corporation, or health maintenance organization issuing or delivering health benefit plans in this state and subject to the following laws:

(6) “Managed care plan” means a health benefit plan that either requires a covered person to use or creates incentives, including financial incentives, for a covered person to use participating providers;

(8) “Orthotic service” means the evaluation and treatment of a condition that requires the use of an orthotic device;

(9) “Participating provider” means a provider who or that has agreed to provide healthcare services to covered persons with an expectation of receiving payment, other than coinsurance, copayments, or deductibles, directly or indirectly, from the healthcare insurer;

(10) “Person” or “entity” means and includes, individually and collectively, any individual, corporation, partnership, firm, trust, association, voluntary organization, or any other form of business enterprise or legal entity;

(11) “Policyholder” means the employer, union, individual, or other person or entity that purchases, issues, or sponsors a health benefit plan;

(13) “Prosthetic service” means the evaluation and treatment of a condition that requires the use of a prosthetic device;

(14) “Specialty” means a provider's particular area of specialty within his or her licensed scope of practice; and

(15) “Type” of provider means the licensed scope of practice.