Participating health care facility

Participating health care facility means any health care facility described in this section that has a contractual relationship directly or indirectly with a group health plan or health insurance issuer offering group health insurance coverage setting forth the terms and conditions on which a relevant item or service is provided to a participant or beneficiary under the plan or coverage, respectively. A single case agreement between a health care facility and a plan or issuer that is used to address unique situations in which a participant or beneficiary requires services that typically occur out-of-network constitutes a contractual relationship for purposes of this definition, and is limited to the parties to the agreement.

Source

29 CFR § 2590.716-3


Scoping language

The definitions in this part apply to 2590.716 through 2590.722, unless otherwise specified. In addition, for purposes of 2590.716 through 2590.722, the following definitions apply:

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