Skip to main content
Find a Lawyer

Minnesota Statutes Insurance (Ch. 59A-79a) § 62J.805. Definitions

Current as of January 01, 2025 | Updated by Findlaw Staff

Subdivision 1. Application. For purposes ofsections 62J.805to62J.808, the following terms have the meanings given.

Subd. 2. Billing error. “Billing error” means an error in a bill from a health care provider to a patient for health treatment or services that affects the amount owed by the patient according to that bill. Billing error includes but is not limited to (1) miscoding a health treatment or service, (2) an error in determining whether a health treatment or service is covered under the patient's health plan, or (3) an error in determining the cost-sharing owed by the patient.

Subd. 3. Group practice. “Group practice” has the meaning given to health care provider group practice insection 145D.01, subdivision 1.

Subd. 4. Health care provider. “Health care provider” means:

(1) a health professional who is licensed or registered by the state to provide health treatment and services within the professional's scope of practice and in accordance with state law;

(2) a group practice; or

(3) a hospital.

Subd. 5. Health plan. “Health plan” has the meaning given insection 62A.011, subdivision 3.

Subd. 6. Hospital. “Hospital” means a health care facility licensed as a hospital undersections 144.50to144.56.

Subd. 7. Medically necessary. “Medically necessary” means:

(1) safe and effective;

(2) not experimental or investigational, except as provided inCode of Federal Regulations, title 42, section 411.15(o);

(3) furnished in accordance with acceptable medical standards of medical practice to diagnose or treat the patient's condition, or to improve the function of a malformed body member;

(4) furnished in a setting appropriate to the patient's medical need and condition;

(5) ordered and furnished by qualified personnel;

(6) meets, but does not exceed, the patient's medical need; and

(7) is at least as beneficial as an existing and available medically appropriate alternative.

Subd. 8. Payment. “Payment” includes co-payments and coinsurance and deductible payments made by a patient.

Previous Part of Code Next Part of Code
Back to Chapter List

Cite this article: FindLaw.com - Minnesota Statutes Insurance (Ch. 59A-79a) § 62J.805. Definitions - last updated January 01, 2025 | https://codes.findlaw.com/mn/insurance-ch-59a-79a/mn-st-sect-62j-805/

FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.

Was this helpful?

Welcome to FindLaw's Cases & Codes

A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes, visit FindLaw’s Learn About the Law.

Go to Learn About the Law

Latest Blog Posts

For Legal Professionals

Learn About The Law

Get help with your legal needs

FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.

Go to Learn About the Law

Need to Find an Attorney?

Search our directory by legal issue

Enter information in one or both fields (Required)

Copied to clipboard