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  • PART I ADMINISTRATION OF THE GOVERNMENT
  • TITLE XXII CORPORATIONS
  • CHAPTER 175H FALSE HEALTH CARE CLAIMS
  • Section 1 Definitions

Section 1. As used in this chapter the following words shall have the following meanings, unless the context otherwise requires:—

“False”, wholly or partially false, fictitious, fraudulent, untrue or deceptive.

“Health care benefit”, a payment for health care services or the right under a contract or a certificate or policy of insurance to have a payment made by a health care corporation or health care insurer for a specified health care service.

“Health care corporation”, a nonprofit hospital service corporation organized pursuant to chapter one hundred and seventy-six A, a nonprofit medical service corporation organized pursuant to chapter one hundred and seventy-six B, a medical service corporation organized pursuant to chapter one hundred and seventy-six C, a dental service corporation organized pursuant to chapter one hundred and seventy-six E, an optometric service plan organized pursuant to chapter one hundred and seventy-six F, and a health maintenance organization organized pursuant to chapter one hundred and seventy-six G.

“Health care insurer”, any insurance company authorized to provide health insurance in this state or any legal entity which is self-insured and providing health care benefits to its employees.

“Person”, an individual, corporation, partnership, association, or any other legal entity.