Nebraska Revised Statutes Chapter 44. Insurance § 44-1402. Terms, defined

(1)Allowed amount means the contractually agreed-upon amount paid by an insurance carrier to a health care entity participating in the insurance carrier's network or the amount the health plan is required to pay under the health plan policy or certificate of insurance for out-of-network covered benefits provided to the patient;

(2)Department means the Department of Insurance;

(3)Director means the Director of Insurance;

(4)Enrollee means an individual receiving health insurance coverage from an insurance carrier;

(5)Health care entity means:

(6)Incentive payment means a payment described in section 44-1407 that is made by an insurance carrier to an enrollee;

(7)Insurance carrier means any entity that provides health insurance in this state. Insurance carrier includes (a) an insurance company, (b) a fraternal benefit society, (c) a health maintenance organization, and (d) any other entity providing a plan of health insurance or health benefits subject to state insurance regulation;

(8)Shared savings incentive payment program means a program established by an insurance carrier pursuant to section 44-1407 to provide incentive payments to enrollees; and

(9)Shoppable health care service means a health care service for which an insurance carrier offers incentive payments under a shared savings incentive payment program established by the insurance carrier.Shoppable health care service includes, at a minimum, health care services in the following categories: