(215 ILCS 5/370g) (from Ch. 73, par. 982g)
Sec. 370g. Definitions. As used in this Article, the following definitions
apply:
(a) "Health care services" means health care services or products
rendered or sold by a provider within the scope of the provider's license
or legal authorization. The term includes, but is not limited to, hospital,
medical, surgical, dental, vision and pharmaceutical services or products.
(b) "Insurer" means an insurance company or a health service corporation
authorized in this State to issue policies or subscriber contracts which
reimburse for expenses of health care services.
(c) "Insured" means an individual entitled to reimbursement for expenses
of health care services under a policy or subscriber contract issued or
administered by an insurer.
(d) "Provider" means an individual or entity duly licensed or legally
authorized to provide health care services.
(e) "Noninstitutional provider" means any person licensed under the Medical
Practice Act of 1987, as now or hereafter amended.
(f) "Beneficiary" means an individual entitled to reimbursement for
expenses of or the discount of provider fees for health care services under
a program where the beneficiary has an incentive to utilize the services of a
provider which has entered into an agreement or arrangement with an
administrator.
(g) "Administrator" means any person, partnership or corporation, other
than an insurer or health maintenance organization holding a certificate of
authority under the "Health Maintenance Organization Act", as now or hereafter
amended, that arranges, contracts with, or administers contracts with a
provider whereby beneficiaries are provided an incentive to use the services of
such provider.
(h) "Emergency medical condition" has the meaning given to that term in Section 10 of the Managed Care Reform and Patient Rights Act.
(Source: P.A. 102-409, eff. 1-1-22.)
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