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.