§16-1A-3. Definitions. (a) "Commissioner" is the Office of the Insurance Commissioner.
(b) "CVO" is a Credentialing Verification Organization which performs primary source verification of all health care practitioners' training, education and experience.
(c) "The department" is the Department of Health and Human Resources;
(d) "Health care practitioners" means those established pursuant to section two of this article in legislative rule.
(e) "Joint Commission" is an independent not-for-profit organization that evaluates and accredits more than 15,000 health care organizations and programs in the United States.
(f) "NCQA" means the National Committee for Quality Assurance, which is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality.
(g) "Primary source verification procedure" means the procedure used by a credentialing organization to collect, verify and maintain the accuracy of documents and credentialing information submitted to it by a health care practitioner who is applying for affiliation with a health care entity.
(h) "URAC" means the American Accreditation Healthcare Commission.
(I) "Payor" means an insurer, prepaid health plan, hospital service corporation, third party administrator as defined in article forty-six, chapter thirty-three of this code, or any other entity that reimburses health care practitioners for medical services.
§16-1A-3. Definitions. (a) "Commissioner" is the Office of the Insurance Commissioner.
(b) "CVO" is a Credentialing Verification Organization which performs primary source verification of all health care practitioners' training, education and experience.
(c) "The department" is the Department of Health and Human Resources;
(d) "Health care practitioners" means those established pursuant to section two of this article in legislative rule.
(e) "Joint Commission" is an independent not-for-profit organization that evaluates and accredits more than 15,000 health care organizations and programs in the United States.
(f) "NCQA" means the National Committee for Quality Assurance, which is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality.
(g) "Primary source verification procedure" means the procedure used by a credentialing organization to collect, verify and maintain the accuracy of documents and credentialing information submitted to it by a health care practitioner who is applying for affiliation with a health care entity.
(h) "URAC" means the American Accreditation Healthcare Commission.
(I) "Payor" means an insurer, prepaid health plan, hospital service corporation, third party administrator as defined in article forty-six, chapter thirty-three of this code, or any other entity that reimburses health care practitioners for medical services.
§16-1A-3. Definitions. (a) "Commissioner" is the Office of the Insurance Commissioner.
(b) "CVO" is a Credentialing Verification Organization which performs primary source verification of all health care practitioners' training, education and experience.
(c) "The department" is the Department of Health and Human Resources;
(d) "Health care practitioners" means those established pursuant to section two of this article in legislative rule.
(e) "Joint Commission" is an independent not-for-profit organization that evaluates and accredits more than 15,000 health care organizations and programs in the United States.
(f) "NCQA" means the National Committee for Quality Assurance, which is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality.
(g) "Primary source verification procedure" means the procedure used by a credentialing organization to collect, verify and maintain the accuracy of documents and credentialing information submitted to it by a health care practitioner who is applying for affiliation with a health care entity.
(h) "URAC" means the American Accreditation Healthcare Commission.
(I) "Payor" means an insurer, prepaid health plan, hospital service corporation, third party administrator as defined in article forty-six, chapter thirty-three of this code, or any other entity that reimburses health care practitioners for medical services.
