Montana Title 33. Insurance and Insurance Companies § 33-2-2002. Definitions

(1) “Audit” means a review of the records of a pharmacy by or on behalf of an entity that finances or reimburses the cost of health care services or pharmaceutical products.

(2) “Entity” includes:

(3) “Fraud” means an intentional act of deception, misrepresentation, or concealment in order to gain something of value.

(4) “Health benefit plan” means a policy or certificate that provides health care insurance or major medical expense insurance or that is offered as a substitute for hospital or medical expense insurance. The term does not include a policy or certificate that provides benefits solely for accident, dental, vision, income replacement, long-term care, a medicare supplement, a specified disease, or a short-term limited duration or that is offered and marketed as supplemental health insurance.