agreeable provider contract within the time frames established
by this act.
"Department." The Insurance Department of the Commonwealth.
"Health care services." Any medical-surgical, hospital,
facility or ancillary service provided to an individual.
"Health insurance carrier." An entity licensed in this
Commonwealth to issue health insurance, subscriber contracts,
certifications or plans that provide medical or health care
coverage by a health care facility or licensed health care
provider that is offered or governed under the act of May 17,
1921 (P.L.682, No.284), known as The Insurance Company Law of
1921, including section 630 and Article XXIV thereof, or any of
the following:
(1) The act of December 29, 1972 (P.L.1701, No.364),
known as the Health Maintenance Organization Act.
(2) The act of May 18, 1976 (P.L.123, No.54), known as
the Individual Accident and Sickness Insurance Minimum
Standards Act.
(3) 40 Pa.C.S. Chs. 61 (relating to hospital plan
corporations) and 63 (relating to professional health
services plan corporations).
"Hospital-owned physician practice." A physician practice
that meets both of the following:
(1) Provides health care services or other professional
medical services to an individual.
(2) Is any of the following:
(i) Owned or operated by a hospital.
(ii) Under joint control of a hospital.
(iii) A subsidiary of a hospital.
"Integrated delivery network." One or more entities with
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