2017 Missouri Revised Statutes
Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376 Life, Health and Accident Insurance
Section 376.1575 Definitions
Effective 01 Jan 2014, see footnote
Title XXIV BUSINESS AND FINANCIAL INSTITUTIONS
Chapter 376376.1575. Definitions — As used in sections 376.1575 to 376.1580*, the following terms shall mean:
(1) "Completed application", a practitioner's application to a health carrier that seeks the health carrier's authorization for the practitioner to provide patient care services as a member of the health carrier's network and does not omit any information which is clearly required by the application form and the accompanying instructions;
(2) "Credentialing", a health carrier's process of assessing and validating the qualifications of a practitioner to provide patient care services and act as a member of the health carrier's provider network;
(3) "Health carrier", the same meaning as such term is defined in section 376.1350;
(4) "Practitioner":
(a) A physician or physician assistant eligible to provide treatment services under chapter 334;
(b) A pharmacist eligible to provide services under chapter 338;
(c) A dentist eligible to provide services under chapter 332;
(d) A chiropractor eligible to provide services under chapter 331;
(e) An optometrist eligible to provide services under chapter 336;
(f) A podiatrist eligible to provide services under chapter 330;
(g) A psychologist or licensed clinical social worker eligible to provide services under chapter 337; or
(h) An advanced practice nurse eligible to provide services under chapter 335.
(L. 2013 S.B. 262)
Effective 1-01-14
*Section 376.1580 does not exist.
