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Current as of January 01, 2024 | Updated by Findlaw Staff
As used in the Provider Service Network Act:
A. “association” means the provider service network guaranty association;
B. “board” means the provider service network guaranty board;
C. “health care facility” means an institution providing health care services, including a hospital or other licensed inpatient center, an ambulatory surgical or treatment center, a skilled nursing center, a residential treatment center, a home health agency, a diagnostic, laboratory or imaging center and a rehabilitation or other therapeutic health setting;
D. “health care insurer” means a person that has a valid certificate of authority in good standing under the New Mexico Insurance Code to act as an insurer, health maintenance organization, nonprofit health care plan or prepaid dental plan;
E. “health care professional” means a physician or other health care practitioner, including a pharmacist, who is licensed, certified or otherwise authorized by the state to provide health care services consistent with state law;
F. “health care services” includes physical health services or community-based mental health or developmental disability services, including services for developmental delay;
G. “person” means an individual or other legal entity;
H. “provider” means a person that is licensed or otherwise authorized by the state to furnish health care services, including health care professionals and health care facilities; and
I. “provider service network” means two or more providers affiliated for the purpose of providing health care services on a capitated or similar prepaid, flat-fee basis.
Cite this article: FindLaw.com - New Mexico Statutes Chapter 59A. Insurance Code § 59A-42A-2. Definitions - last updated January 01, 2024 | https://codes.findlaw.com/nm/chapter-59a-insurance-code/nm-st-sect-59a-42a-2/
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.
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