Current through September 2, 2024
Section 18.04.04.010 - DEFINITIONS01.Balance Billing. The practice whereby a provider bills an individual covered under the benefit plan for the difference between the amount the provider normally charges for a service and the amount the plan, policy, or contract recognizes as the allowable charge or negotiated price for the service delivered.02.MCO. Managed Care Organizations is abbreviated to MCO in this rule.03.MCO Provider. MCO provider means any provider owned, managed, employed by, or under contract with an MCO to provide health care services to MCO members. An MCO provider includes a physician, hospital, or other person licensed or authorized to furnish health care services.Idaho Admin. Code r. 18.04.04.010