Affiliated Physician definition

Affiliated Physician means an individual licensed to practice medicine or osteopathy and who has a contract with the Plan or an IPA to provide services to Members.
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Affiliated Physician means any licensed physician that: (i) is performing services on behalf of the Company or its Affiliate pursuant to a written agreement with the Company or such Affiliate, (ii) has an ownership interest in an Affiliate of the Company that performs professional services on its own behalf, or (iii) has a professional practice that is being managed by the Company or an Affiliate, provided, that, in each case, such licensed physician is providing services to the Company, an Affiliate or another entity that is a “service recipient” as defined in Treas. Reg. § 1.409A-1(g) such that common stock of the Company is “service recipient stock” as defined in Treas. Reg. §1.409A-1(b).
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Affiliated Physician means a primary care physician legally qualified and licensed to practice medicine or osteopathy and who has a contract with the Plan or an IPA to provide services to Members.
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Examples of Affiliated Physician in a sentence

  • The following Hospice Care services, provided as part of an established hospice program are covered when your Affiliated Physician informs the Plan that your condition is terminal and Hospice Care would be appropriate: • Inpatient Hospice Care.

  • Non-Covered Services: • All maternity care within four (4) weeks of the estimated date of delivery as determined by the Affiliated Physician, including prenatal services, delivery services and postpartum care, provided while you are outside of the Service Area.

  • Each Member shall have the right to choose, to the extent feasible and appropriate the Affiliated Physician, Provider or Treating Physician and other health care professionals responsible for his/her primary care.

  • Non-Covered Services include but are not limited to: • Physical examinations performed in excess of one per Plan year by your Affiliated Physician or other Health Professional, • Diagnostic services; and • Immunizations.

  • Affiliated Physician, Affiliated Provider Treating Physcian and Health Professional Services • Evaluation and Management Services, Surgical Services and any other related professional services within a Hospital, both Inpatient and Outpatient, Ambulatory Surgical Center, Office, Skilled Nursing Facility, Rehabilitation Facility other any other approved facility and the Patient’s Home.

  • If you are out of the Service Area at that time, your Affiliated Physician will determine if you can wait for those services and supplies until you could reasonably return to receive them from an Affiliated Provider.

  • It is the act of an Affiliated Physician and other health practitioners to charge Members for the difference between their desired higher Professional Fees and the agreed Maxicare standard Professional Fees for services rendered.

  • If you are confined in a Hospital as an inpatient after a Medical Emergency, you (or someone on your behalf) must notify your Affiliated Physician and the Plan soon as it is reasonably possible about your confinement.

  • When you have an Illness or Injury that needs immediate attention, such as cuts or sprains, but it is not as serious as a Medical Emergency, call your Affiliated Physician before you seek any services.

  • For assistance with the selected Affiliated Physician or for further information, the Member should contact the Plan’s Customer Service Department at (000) 000-0000.


More Definitions of Affiliated Physician

Affiliated Physician means any physician participating in a contract with ENH Medical Group, but not as an ENH employed physician.
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Affiliated Physician means a physician employed by or under Contract with an Acquired Company or an Affiliated Physician Practice, as applicable.
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Affiliated Physician means an individual licensed to practice medicine or osteopathy (MD or DO) and who has a contract with HAP MHP or an Individual Practice Association (IPA) to provide services to Members.
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Affiliated Physician means physicians who have admitting privileges, practicing privileges or consulting privileges at Licensor’s hospital but are not employed by the Licensor.
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Affiliated Physician means any physician who, directly or indirectly (including as a member or owner of a physician group or professional corporation), has an ownership interest in or financial relationship with any of the Acquired Companies.
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Affiliated Physician means a Primary Care Physician legally qualified and licensed to practice medicine or osteopathy and who has formally contracted with the Plan or an IPA to provide services for its Members.
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Related to Affiliated Physician

  • Qualified physician means any physician who has not been excluded under the provisions of subpart I of this part. Except as otherwise provided by regulation, a qualified physician shall be deemed to be designated or ap- proved by OWCP.

  • Licensed physician means a person licensed to practice

  • Participating physician means a physician licensed in Virginia to practice medicine, who practices

  • Independent physician means a physician who is chosen by the resident of the assisted living facility and who has no financial interest in the assisted living facility, directly or indirectly, as an owner, officer, or employee or as an independent contractor with the residence.

  • Legally Qualified Physician means a physician or a Christian Science Practitioner (a) other than an Insured, a Traveling Companion or a Family Member: (b) practicing within the scope of his or her license: and (c) recognized as a physician in the place where the services are rendered.

  • Consulting physician means a physician who is qualified by specialty or experience to make a professional diagnosis and prognosis regarding the patient's disease.

  • Resident physician means a physician enrolled in an internship, residency or fellowship.

  • Attending physician means the physician who has primary

  • Primary care physician means a physician who is a family

  • Physician means a licensed practitioner of medical, surgical, dental, services or the healing arts including accredited Christian Science Practitioner, acting within the scope of his/her license. The treating physician cannot be the Insured, a Traveling Companion, a Family Member, or a Business Partner.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

  • Affiliated Entity means any entity controlling, controlled by, or under common control with an Insured.

  • Treating physician means an individual who:

  • Supervising physician means any physician licensed under Iowa Code chapter 148, 150, or 150A. The supervising physician is responsible for medical direction of emergency medical care personnel when such personnel are providing emergency medical care.

  • affiliated college means an educational institution affiliated to the University but not maintained or administered by it;

  • Affiliated Company means any company controlled by, controlling or under common control with the Company.

  • Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Doctor means a licensed health care provider acting within the scope of his or her license and rendering care or treatment to a Covered Person that is appropriate for the conditions and locality. It will not include a Covered Person or a member of the Covered Person’s Immediate Family or household.

  • Audiologist means an individual who is licensed by a state to practice audiology.

  • Bona fide physician-patient relationship means a treatment or counseling relationship between a physician and patient in which all of the following are present:

  • Collaborating physician means the physician who,

  • Pharmacist means an individual licensed by this state to compound and dispense drugs, prescriptions, and poisons.

  • Affiliated Party means, with respect to any Purchaser, any person or entity which, directly or indirectly, controls, is controlled by or is under common control with such Purchaser, including, without limitation, any general partner, officer or director of such Purchaser and any venture capital fund now or hereafter existing which is controlled by one or more general partners of, or shares the same management company as, such Purchaser.

  • Hospital pharmacist means an Iowa-licensed pharmacist who meets the requirements for participating in a hospital practice protocol as determined by the hospital’s P&T committee.