Contracted Provider definition

Contracted Provider means any licensed child-placing agency that has entered into a contract with the Department for the purposes of recruitment, training, evaluation and/or supervision of licensed out-of-home caregivers.

Contracted Provider means a physician, hospital, health care professional or any other provider of items or services that is employed by or has a contractual relationship with Provider. The term “Contracted Provider” includes Provider for those Covered Services provided by Provider.

Contracted Provider means a health care provider that has

Examples of Contracted Provider in a sentence

• Conflict of Interest – A circumstance in which a Board Member, Board employee, Contracted Provider, or Contracted Provider’s employee is in a decision-making position and has a direct or indirect interest, particularly a financial interest, that influences the individual’s ability to perform job duties and fulfill responsibilities.

• Because the services were provided by a Contracted Provider, you will receive the benefit of the payment/rate negotiated by the Host Blue with the provider.

• The amount that BCBSNM pays together with your Member Share is the total amount the Contracted Provider has contractually agreed to accept as payment in full for the services you have received.

• If the services are provided by a Contracted Provider of the Host Blue, the provider will submit your claims directly to the Host Blue to determine the allowable amount.

• Because the services were provided by a HMO Contracted Provider, you will receive the benefit of the payment/rate negotiated by the Host Blue with the Provider.

More Definitions of Contracted Provider

Contracted Provider means a health care provider that has entered into a contract with a health insurer to provide health care services to the health insurer's enrollees at agreed on rates.

Contracted Provider means a provider who is contracted with a medicaid managed care organization.

Contracted Provider means a behavioral health, substance abuse professional, or Employee Assistance Professional who has been approved by DES and is included in the Network of Contracted Providers.

Contracted Provider or “Provider” shall mean the pool of contracted behavioral health professionals, substance abuse professionals, or Employee Assistance Professionals who have been approved by DES as a result of an RFQ.

Contracted Provider means a provider, and its employees, contracted with the department or an area agency on aging to provide services to department clients under programs under chapter 74.09, 74.39, 74.39A, or 71A.12 RCW. "Contracted provider" includes area agencies on aging and their subcontractors who provide case management.

Contracted Provider means a provider as defined in the IPA Foundation Agreement and who has signed this FOA, to provide primary healthcare services to the beneficiaries belonging to the MEDSHIELD options as listed in Annexure E as well as the said Registration Agreement between the Independent Practitioners Association Foundation and the participating doctor.

Contracted Provider or “Provider” means a behavioral health, substance abuse professional, or Employee Assistance Professional who is approved by DES and included in the Provider Network.