OUT-OF-NETWORK PROVIDER. a Provider who does not have an agreement, either directly or indirectly, with the Plan pertaining to payment as a Network participant for Covered Services provided to a Member.
Appears in 9 contracts
Samples: Individual Comprehensive Major Medical Preferred Provider Subscription Agreement, Individual Comprehensive Major Medical Exclusive Provider Subscription Agreement, Individual Comprehensive Major Medical Preferred Provider Qualified High Deductible Health Plan Subscription Agreement