Browse Arkansas Code titles and sections
23-63-1801. Definitions.
Arkansas Code — all titles (historical 2020) · legal_authorities
23-63-1801. Definitions.
As used in this subchapter:
(1) “Covered person” means a person on whose behalf a health care insurer offering health insurance coverage is obligated to pay benefits or provide services;
(2) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including, but not limited to, an insurance company, a health maintenance organization, or a hospital medical service corporation;
(3) “Healthcare provider” means any person or entity providing:
(A) Medical, pharmaceutical, optometric, or dental care;
(B) Hospitalization; or
(C) Any other services and goods used for the purpose or incidental to the purpose of preventing, alleviating, curing, or healing human illness or injury;
(4)(A) “Health insurance coverage” means benefits consisting of medical, pharmaceutical, optometric, or dental care, hospitalization, or other goods or services for the purpose of preventing, alleviating, curing, or healing human illness provided, directly or indirectly, through insurance, reimbursement, or otherwise, including items and services paid for under any policy, certificate, or agreement offered by a health care insurer.
(B) “Health insurance coverage” does not include policies or certificates covering only accident, credit, disability income, long-term care, hospital indemnity, Medicare supplemental policy as defined in 42 U.S.C. § 1395ss(g)(1), a specified disease, other limited benefit health insurance, automobile medical payment insurance, or claims under the Workers' Compensation Law, § 11-9-101 et seq., Public Employee Workers' Compensation Act, § 21-5-601 et seq., or the Comprehensive Health Insuran
Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-63-1801
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. A text match is a research starting point; applicability is not established.
Issuing source page ↗
Authority boundary: historical statutory source snapshot not current law.
Open the recorded source website ↗
Record provenance
Stable record: arkansas_code:legal_authorities:23-63-1801
Source file: gov.ar.code.title.23.odt
Pages: Not recorded – Not recorded
Passage SHA-256: 9be39afac6363982ba7477e296d75a245dad4d56e49ba3b283a8459d7710f608
Source location: content.xml paragraph 34501
Stored source content
23-63-1801. Definitions.
As used in this subchapter:
(1) “Covered person” means a person on whose behalf a health care insurer offering health insurance coverage is obligated to pay benefits or provide services;
(2) “Healthcare insurer” means an entity subject to the insurance laws of this state or the jurisdiction of the Insurance Commissioner that contracts or offers to contract to provide health insurance coverage, including, but not limited to, an insurance company, a health maintenance organization, or a hospital medical service corporation;
(3) “Healthcare provider” means any person or entity providing:
(A) Medical, pharmaceutical, optometric, or dental care;
(B) Hospitalization; or
(C) Any other services and goods used for the purpose or incidental to the purpose of preventing, alleviating, curing, or healing human illness or injury;
(4)(A) “Health insurance coverage” means benefits consisting of medical, pharmaceutical, optometric, or dental care, hospitalization, or other goods or services for the purpose of preventing, alleviating, curing, or healing human illness provided, directly or indirectly, through insurance, reimbursement, or otherwise, including items and services paid for under any policy, certificate, or agreement offered by a health care insurer.
(B) “Health insurance coverage” does not include policies or certificates covering only accident, credit, disability income, long-term care, hospital indemnity, Medicare supplemental policy as defined in 42 U.S.C. § 1395ss(g)(1), a specified disease, other limited benefit health insurance, automobile medical payment insurance, or claims under the Workers' Compensation Law, § 11-9-101 et seq., Public Employee Workers' Compensation Act, § 21-5-601 et seq., or the Comprehensive Health Insurance Pool Act, § 23-79-501 et seq.; and
(5) “Recoupment” means any action or attempt by a health care insurer to recover or collect payments already made to a health care provider with respect to a claim:
(A) By reducing other payments currently owed to the health care provider;
(B) By withholding or setting off the amount against current or future payments to the health care provider;
(C) By demanding payment back from a health care provider for a claim already paid; or
(D) By any other manner that reduces or affects the future claim payments to the health care provider.
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
The provisions of sections 406 and 416(j) of this title, and of subsections (a), (d), (e), (h), (i), (j), (k), and (l) of [section 405 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section405&num=0&edition=prelim), shall also apply with respect to this subchapter to the same extent as they are applicable with respect to subchapter II, except that, in applying such provisions with respect to this subchapter, any reference therein to the Commissioner of Social Security or the Social Security Administration shall be considered a reference to the Secretary or the Department of Health and Human Services, respectively.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395ss
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 1395ss. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 3774
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395ss
(I) interpretation by a ‘‘B Reader’’
qualified physician of a plain chest x-ray
or interpretation of a computed tomo-
graphic radiograph of the chest by a
qualified physician, as determined by the
Secretary; or
(II) such other diagnostic standards as
the Secretary specifies,
except that this clause shall not apply to
pleural thickening or pleural plaques un-
less there are symptoms or conditions re-
quiring medical treatment as a result of
these diagnoses.
(ii) Mesothelioma, or malignancies of the
lung, colon, rectum, larynx, stomach,
esophagus, pharynx, or ovary, as estab-
lished by—
(I) pathologic examination of biopsy
tissue;
(II) cytology from bronchioalveolar la-
vage; or
(III) such other diagnostic standards as
the Secretary specifies.
(iii) Any other diagnosis which the Sec-
retary, in consultation with the Commis-
sioner of Social Security, determines is an
asbestos-related medical condition, as es-
tablished by such diagnostic standards as
the Secretary specifies.
(3) Other individual described
An individual described in this paragraph is
any individual who—
(A) is not an individual described in para-
graph (2);
(B) is diagnosed with a medical condition
caused by the exposure of the individual to a
public health hazard to which an emergency
declaration applies, based on such medical
conditions, diagnostic standards, and other
criteria as the Secretary specifies;
(C) as demonstrated in such manner as the
Secretary determines appropriate, has been
present for an aggregate total of 6 months in
the geographic area subject to the emer-
gency declaration involved, during a period
determined appropriate by the Secretary;
(D) files an application for benefits under
this subchapt
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395ss
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1395ss. This identifies an authority to review, not proof of applicability.
Arkansas Code — all titles (historical 2020) · legal_authorities
11-9-101. Title — Purpose.
(a) This chapter shall be cited as the “Workers' Compensation Law”.
(b) The primary purposes of the workers' compensation laws are to pay timely temporary and permanent disability benefits to all legitimately injured workers who suffer an injury or disease arising out of and in the course of their employment, to pay reasonable and necessary medical expenses resulting therefrom, and then to return the worker to the work force; to improve workplace safety through safety programs; to improve health care delivery through use of managed care concepts; to encourage the return to work of injured workers; to deter and punish frauds of agents, brokers, solicitors, employers, and employees relating to procurement of workers' compensation coverage or the provision or denial of benefits; to curtail the rise in medical costs associated with the provision of workers' compensation benefits; and to emphasize that the workers' compensation system in this state must be returned to a state of economic viability.
Source: Arkansas Code — historical release 78 (November 6, 2020) · 11-9-101
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 11-9-101. This identifies an authority to review, not proof of applicability.
Arkansas Code — all titles (historical 2020) · legal_authorities
21-5-601. Title.
This subchapter shall be known and cited as the “Public Employee Workers' Compensation Act”.
Source: Arkansas Code — historical release 78 (November 6, 2020) · 21-5-601
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 21-5-601. This identifies an authority to review, not proof of applicability.
Arkansas Code — all titles (historical 2020) · legal_authorities
23-79-501. Purpose.
(a)(1) Acts 1995, No. 1339, established the Arkansas Comprehensive Health Insurance Pool as a state program that was intended to provide an alternate market for health insurance for certain uninsurable Arkansas residents, and further this subchapter is intended to provide for the successor entity that will provide the acceptable alternative mechanism as described in the Health Insurance Portability and Accountability Act of 1996 for providing portable and accessible individual health insurance coverage for federally eligible individuals as defined in this subchapter.
(2) This subchapter further is intended to provide a health insurance coverage option for persons eligible for a federal income tax credit under section 35 of the Internal Revenue Code, as created by the Trade Adjustment Assistance Reform Act of 2002 or as subsequently amended.
(b) The General Assembly declares that it intends for this program to provide portable and accessible individual health insurance coverage for every individual who qualifies for coverage in accordance with § 23-79-509(b) as a federally eligible individual or as a qualified trade adjustment assistance eligible person but does not intend for every eligible person who qualifies for pool coverage in accordance with § 23-79-509 to be guaranteed a right to be issued a policy under this pool as a matter of entitlement.
Source: Arkansas Code — historical release 78 (November 6, 2020) · 23-79-501
Stored review status: Historical 2020-11-06 source release; later amendments not reconciled; machine-extracted, not independently legally reviewed; source heading status: text_in_historical_source. The source passage cites 23-79-501. This identifies an authority to review, not proof of applicability.