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(215 ILCS 5/370g)
(from Ch. 73, par. 982g)
As used in this Article, the following definitions
(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
(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
(h) "Emergency medical condition" means a medical condition manifesting
acute symptoms of sufficient severity (including severe
pain) such that a prudent
layperson, who possesses an average knowledge of health and medicine, could
reasonably expect the absence of immediate medical attention to result in:
(1) placing the health of the individual (or, with
respect to a pregnant woman, the health of the woman or her unborn child) in serious jeopardy;
impairment to bodily functions; or
(3) serious dysfunction of any bodily organ
(Source: P.A. 91-617, eff. 1-1-00.)