Minn. Stat. § 62J.805
This is the official text of Minn. Stat. § 62J.805, part of Minnesota’s Stat — part of the compiled statutory law of Minnesota, published by the state as "Stat." Browse the sections below, each linked to its official government source.
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§ 62J.805 DEFINITIONS.
Official statutory text
§ Subdivision 1. Application. For purposes of sections 62J.805 to 62J.808 , the following terms have the meanings given.
§ Subd. 2. Billing error. "Billing error" means an error in a bill from a health care provider to a patient for health treatment or services that affects the amount owed by the patient according to that bill. Billing error includes but is not limited to (1) miscoding a health treatment or service, (2) an error in determining whether a health treatment or service is covered under the patient's health plan, or (3) an error in determining the cost-sharing owed by the patient.
§ Subd. 3. Group practice. "Group practice" has the meaning given to health care provider group practice in section 145D.01, subdivision 1 .
§ Subd. 4. Health care provider. "Health care provider" means: (1) a health professional who is licensed or registered by the state to provide health treatment and services within the professional's scope of practice and in accordance with state law; (2) a group practice; or (3) a hospital.
§ Subd. 5. Health plan. "Health plan" has the meaning given in section 62A.011 , subdivision 3.
§ Subd. 6. Hospital. "Hospital" means a health care facility licensed as a hospital under sections 144.50 to 144.56 .
§ Subd. 7. Medically necessary. "Medically necessary" means: (1) safe and effective; (2) not experimental or investigational, except as provided in Code of Federal Regulations, title 42, section 411.15 (o); (3) furnished in accordance with acceptable medical standards of medical practice to diagnose or treat the patient's condition, or to improve the function of a malformed body member; (4) furnished in a setting appropriate to the patient's medical need and condition; (5) ordered and furnished by qualified personnel; (6) meets, but does not exceed, the patient's medical need; and (7) is at least as beneficial as an existing and available medically appropriate alternative.
§ Subd. 8. Payment. "Payment" includes co-payments and coinsurance and deductible payments made by a patient.
§ Subd. 2. Billing error. "Billing error" means an error in a bill from a health care provider to a patient for health treatment or services that affects the amount owed by the patient according to that bill. Billing error includes but is not limited to (1) miscoding a health treatment or service, (2) an error in determining whether a health treatment or service is covered under the patient's health plan, or (3) an error in determining the cost-sharing owed by the patient.
§ Subd. 3. Group practice. "Group practice" has the meaning given to health care provider group practice in section 145D.01, subdivision 1 .
§ Subd. 4. Health care provider. "Health care provider" means: (1) a health professional who is licensed or registered by the state to provide health treatment and services within the professional's scope of practice and in accordance with state law; (2) a group practice; or (3) a hospital.
§ Subd. 5. Health plan. "Health plan" has the meaning given in section 62A.011 , subdivision 3.
§ Subd. 6. Hospital. "Hospital" means a health care facility licensed as a hospital under sections 144.50 to 144.56 .
§ Subd. 7. Medically necessary. "Medically necessary" means: (1) safe and effective; (2) not experimental or investigational, except as provided in Code of Federal Regulations, title 42, section 411.15 (o); (3) furnished in accordance with acceptable medical standards of medical practice to diagnose or treat the patient's condition, or to improve the function of a malformed body member; (4) furnished in a setting appropriate to the patient's medical need and condition; (5) ordered and furnished by qualified personnel; (6) meets, but does not exceed, the patient's medical need; and (7) is at least as beneficial as an existing and available medically appropriate alternative.
§ Subd. 8. Payment. "Payment" includes co-payments and coinsurance and deductible payments made by a patient.
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