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(1) "Delegated entity" means an entity, other than a health maintenance organization authorized to engage in business under Chapter 843, that by itself, or through subcontracts with one or more entities, undertakes to arrange for or provide medical care or health care to an enrollee in exchange for a predetermined payment on a prospective basis and that accepts responsibility for performing on behalf of the health maintenance organization a function regulated by this chapter, Chapter 222, 251, or 258, as applicable to a health maintenance organization, Chapter 843 or 1271, Section 1367.053, Subchapter A, Chapter 1452, or Subchapter B, Chapter 1507. The term does not include:
(A) an individual physician; or
(B) a group of employed physicians, practicing medicine under one federal tax identification number, whose total claims paid to providers not employed by the group constitute less than 20 percent of the group's total collected revenue computed on a calendar year basis.
Taken from:
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE C. MANAGED CARE
CHAPTER 1272. DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATION
SUBCHAPTER A. GENERAL PROVISIONS
What else can I help you with?
What is a Covered Entity(CE)?
Any healthcare organization, including healthcare providers, healthcare plans, and public health authorities.
What is a Covered Entity CE?
Any healthcare organization, including healthcare providers, healthcare plans, and public health authorities.
If you do not work for a corporate entity in the healthcare field what entity would you work under?
Healthcare is also delivered by Non-profit organizations, Religious organizations, and Governmental departments. You might also be Self-employed.
What is the definition of use in Hipaa?
In the context of HIPAA (Health Insurance Portability and Accountability Act), "use" refers to the internal handling of protected health information (PHI) by a covered entity, such as a healthcare provider, health plan, or healthcare clearinghouse. This includes any actions taken by the covered entity to access, share, or manage PHI for treatment, payment, or healthcare operations. Essentially, it encompasses the ways in which an entity operates with PHI within its own organization.
How do you use delegated of power in a sentence?
power [[[[[ delegated
How do you use delegated power in a sentence?
power [[[[[ delegated
Why are delegated powers called delegated powers?
They are called so because they are power specifically delegated to a certain level of government's jurisdiction.
What is the difference between delegated delegated reserved and concurrent powers?
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Where are delegated powers are found?
Delegated powers are distributed authority in a federal system of government, so any federal system would have delegated powers.
Who has delegated powers?
A delegated power is one that is reserved for the federal government, so obviously the national government has delegated powers.
Delegated powers in a sentence?
The people within the colonies were tired of the delegated powers being placed on them by the British Parliament. (This is an example of the term delegated powers in a sentence.)
Is encouraging trade one of the delegated powers?
Trade is a delegated power to the US Congress.
