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35-11-371
Section 35-11-371 Perfection of lien. (a) For the purposes of this section, the following terms
shall have the following meanings: (1) HEALTH CARE PAYOR. A health care insurer, health maintenance
organization, or health care service plan organized under Article 6, Chapter 20, Title 10A,
authorized to provide health care coverage in the state. (2) SATISFY THE CLAIM. Receipt by
the hospital of either of the following: a. Full payment for services as billed. b. If the
hospital has a contract with the injured person's health care payor, payment together with
all credits, discounts, and contractual adjustments that the patient's bill would be entitled
under the contract, including recoupments, between the hospital and the patient's health care
payor which extinguish the patient's obligation for the services rendered. (b) Unless specifically
contrary to any contractual agreement between the hospital and the injured person's health
care payor or unless contrary to any statute or governmental...
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27-2B-2
Section 27-2B-2 Definitions. As used in this chapter, these terms shall have the following
meanings: (1) ADJUSTED RBC REPORT. An RBC report which has been adjusted by the commissioner
in accordance with subsection (e) of Section 27-2B-3. (2) CORRECTIVE ORDER. An order issued
by the commissioner specifying corrective actions which the commissioner has determined are
required. (3) DOMESTIC INSURER. Any insurer domiciled in this state. (4) FOREIGN INSURER.
Any insurer which is licensed to do business in this state but not domiciled in this state.
(5) FRATERNAL BENEFIT SOCIETY. Any insurer licensed under Chapter 34. (6) HEALTH ORGANIZATION.
Any health care service plan, health maintenance organization, limited health service organization,
dental services corporation, or other managed care organization licensed under this title.
This term does not include any life and disability insurer or property and casualty insurer.
(7) INSURER. As defined in Section 27-1-2, including, without...
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34-25A-5
Section 34-25A-5 Application for licensure or registration. (a) Except as provided in subsection
(h) or (i), no person shall administer prosthetic, orthotic, or pedorthic care in this state
unless licensed or registered to do so in accordance with this chapter. The board shall issue
approved forms for application prior to January 1, 2003. (b) In order to obtain a license
as a prosthetist, orthotist, or prosthetist/orthotist in this state, an applicant shall be
a citizen of the United States or, if not a citizen of the United States, a person who is
legally present in the United States with appropriate documentation from the federal government,
and shall do the following: (1) File a written application on forms to be developed and approved
by the board. The applicant shall meet at least one of the following requirements after a
one-year grandfather period: a. The applicant shall possess a baccalaureate degree in orthotics
and prosthetics from a college or university accredited by a...
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34-34A-3
Section 34-34A-3 Definitions. For the purposes of this chapter, the following terms shall have
the meanings herein ascribed to them unless the context clearly indicates otherwise: (1) BOARD.
Board of Examiners for Dietetics/Nutrition Practice. (2) COMMISSION ON DIETETIC REGISTRATION
(CDR). Commission on Dietetic Registration that is a member of the National Commission for
Health Certifying Agencies. (3) DEGREE. A baccalaureate or higher degree from a college or
university accredited by the Southern Association of Schools and Colleges or other regional
accreditation agency recognized by the Council on Postsecondary Accreditation and the United
States Department of Education. (4) REGISTERED DIETITIAN. A person registered by the Commission
on Dietetic Registration (also defined under Section 34-34-1). (5) LICENSED DIETITIAN/NUTRITIONIST.
A person licensed under this chapter. (6) TEMPORARILY LICENSED DIETITIAN/NUTRITIONIST. A person
temporarily licensed under this chapter. (7) DIETETICS/...
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22-21-29
Section 22-21-29 Inspections. (a) Every hospital licensed under this article shall be open
to inspection to the extent authorized in this section by employees and agents of the State
Board of Health, under rules as shall be promulgated by the board with the advice and consent
of the advisory board. Employees and agents of the board shall also inspect unlicensed and
suspected unlicensed facilities. Nothing in this section shall authorize the board to inspect
quarters therein occupied by members of any religious group or nurses engaged in work in any
hospital or places of refuge for members of religious orders for whom care is provided, but
any inspection shall be limited and confined to the parts and portions of the hospital as
are used for the care and treatment of the patients and the general facilities for their care
and treatment. No hospital shall, by reason of this section, be relieved from any other types
of inspections authorized by law. (b) All inspections undertaken by the...
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27-21A-17
Section 27-21A-17 Suspension or revocation of certificate of authority. (a) The commissioner
in consultation with and with the approval of the State Health Officer, where necessary, may
suspend or revoke any certificate of authority issued to a health maintenance organization
under this chapter if he finds that any of the following conditions exist: (1) The health
maintenance organization is operating significantly in contravention of its basic organizational
document or in a manner contrary to that described in any other information submitted under
Section 27-21A-2, unless amendments to such submissions have been filed with the commissioner
and the State Health Officer and approved by the commissioner; (2) The health maintenance
organization issues evidence of coverage or uses a schedule of charges for health care services
which do not comply with requirements of Section 27-21A-7; (3) The health maintenance organization
does not provide or arrange for basic health care services; (4)...
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27-56-2
Section 27-56-2 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) COVERED PERSON. Any individual, family, or family member on whose behalf third-party
payment or prepayment of health or medical expenses is provided under an insurance policy,
plan, or contract providing for third-party payment or prepayment of health care or medical
expenses. (2) EYE CARE PROVIDER. A licensed optometrist or a licensed ophthalmologist. (3)
INSURANCE POLICY, PLAN, OR CONTRACT PROVIDING FOR THIRD-PARTY PAYMENT OR PREPAYMENT OF HEALTH
OR MEDICAL EXPENSES. Includes an individual or group policy for accident or health insurance,
an individual or group hospital or health care service contract, an individual or group health
maintenance organization contract, an organized delivery system contract, or a preferred provider
organization contract, and any other similar policy, plan, or contract. This term shall not
include any employee welfare benefit plan, as defined...
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34-9-6.1
Section 34-9-6.1 Mobile dental facilities or portable dental operations. (a) For purposes of
this section, the following words have the following meanings: (1) DENTAL HOME. The dental
home is the ongoing relationship between the dentist and the patient, inclusive of all aspects
of oral health care, delivered in a comprehensive, continuously accessible, coordinated, and
family-centered way. (2) MOBILE DENTAL FACILITY. Any self-contained facility in which dentistry
or dental hygiene is practiced which may be moved, towed, or transported from one location
to another. (3) OPERATOR. A person licensed to practice dentistry in this state or an entity
which is approved as tax exempt under Section 501(c)(3) of the Internal Revenue Code which
employs dentists licensed in the state to operate a mobile dental facility or portable dental
operation. (4) PORTABLE DENTAL OPERATION. The use of portable dental delivery equipment which
is set up on site to provide dental services outside of a mobile...
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27-49-3
Section 27-49-3 Definitions. As used in this chapter, the following terms shall have the following
meanings: (1) HEALTH BENEFIT PLAN. Any individual or group plan, policy, or contract for health
care services issued, delivered, issued for delivery, renewed in this state by a health care
insurer, health maintenance organization, accident and sickness insurer, fraternal benefit
society, nonprofit hospital service corporation, nonprofit medical service corporation, health
care service plan, or any other person, firm, corporation, joint venture, or other similar
business entity that pays for, purchases, or furnishes health care services to patients, insureds,
or beneficiaries in this state. The term includes, but is not limited to, entities created
pursuant to Article 6 of Chapter 4 of Title 10. For the purposes of this chapter, a health
benefit plan located or domiciled outside of the State of Alabama is deemed to be subject
to the provisions of this chapter if it receives, processes,...
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6-5-662
Section 6-5-662 Definitions. For purposes of this article, the following words shall have the
following meanings: (1) ESTABLISHED FREE MEDICAL CLINIC. An organized community-based program
providing medical care, without charge to individuals unable to pay for it, and which is limited
to care that does not require the services of a licensed hospital or ambulatory surgical center,
and care that does not include the use of general anesthesia or require an overnight stay
in a health care facility. (2) MEDICAL PROFESSIONAL. A person licensed by the Alabama Medical
Licensure Commission established under Section 34-24-310, or licensed to practice the treatment
of human ailments in any other state or territory of the United States; or a person licensed
by the Alabama Board of Nursing established under Section 34-21-2; or a person licensed by
the Board of Chiropractic Examiners established under Section 34-24-140; or a person licensed
by the Alabama Board of Optometry established under Section...
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