Participating Provider. A Provider that has a Provider Agreement with United Concordia Dental pertaining to payment for Covered Services rendered to a Member.
Participating Provider. A provider who has contracted with the health plan to deliver medical/behavioral health services to covered persons. The provider may be a physician, hospital, pharmacy, other facility or other healthcare provider who has contractually accepted the terms and conditions set forth by the health plan. Also known as network or in-network provider.
Participating Provider. A Provider who meets InterWest’s provider credentialing standards and participation requirements and agrees under contract with InterWest to provide Covered Services to Enrollees under the terms of a Health Benefit Plan.
Participating Provider. A person who, under a contract directly or indirectly with Company, has agreed to provide covered Services to Members with an expectation of receiving payment, other than Copayment or Coinsurance, from Company rather than from the Member, and is either: A Participating Dentist, or A person who is regulated under state law to practice dental or dental-related Services or otherwise practicing dental care Services consistent with state law, including an expanded practice dental hygienist, denturist, or pediatric dental assistant, and who is an employee or agent of a Participating Dentist.
Participating Provider. An individual Health Care Professional, hospital, clinic, facility, entity, dentist, dental assistant, dental hygienist or any other person or organization that provides Health Care or Dental Services and that, at the time care is rendered to a Enrollee, has (or is a member of a Medical Group that has) a contract in effect with Contractor to provide Covered Services to Enrollees and accept copayments for Covered Services.
Participating Provider. All of the Health Care providers who provide covered services to TDCJ's offender patients.
Participating Provider. A Provider that has a Provider Agreement with Xxxxx Vision pertaining to payment for Covered Services rendered to a Member. This Provider may also be referred to as a "Network Provider.”
Participating Provider. A health care practitioner or entity authorized to do business in Florida and contracted with the Health Plan to provide services to the Health Plan’s enrollees.
Participating Provider. A hospital, physician, physician organization, Participating Physician Group, Member Physician, other health care practitioner or other organization which has a direct or indirect contractual relationship with FHS or another Participating Provider to provide Covered Services to Members. In the event PPG contracts with a health care provider to render Covered Services under this Agreement, such provider is a Participating Provider.
Participating Provider. Participating Physicians and Participating Hospitals and other health care professionals, home health care agencies, optometrists, pharmacies or other providers of health care services who have entered into written agreements with WellCare directly or indirectly.
