(a) Intermediario.— Significa una persona autorizada a negociar y otorgar contratos con las organizaciones de seguros de salud o aseguradores, a nombre de los proveedores individuales o de las redes de proveedores cuidado de salud.
(b) Proveedor de cuidado primario.— Significa el proveedor participante que tiene a su cargo la supervisión, coordinación y suministro del cuidado inicial o de seguimiento a las personas cubiertas o asegurados. Además, la organización de seguros de salud o asegurador puede requerir que el proveedor de cuidado primario inicie los trámites de referido para cuidado especializado y continúe supervisando los servicios de cuidado de la salud ofrecidos a la persona cubierta o asegurado.
(c) Red.— Significa el grupo de proveedores participantes que presta servicios a un plan de cuidado coordinado.
Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal insurance products you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.
LegalFix provides its members with access to legal services through a network of provider law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.
The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our provider law firms.
You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your provider law firm.
The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.
Use of this website, the purchase of legal insurance products, and access to the LegalFix network of provider law firms are subject to the LegalFix Terms of Service and Privacy Policy.
