Contracted Provider definition

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.

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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 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.

Examples of Contracted Provider in a sentence

• Claim Administrator has the right to offset future payments owed to the Provider: (i) from the Plan, or, (ii) if the Provider is a Contracted Provider, from Other Plans, up to an amount equal to the Overpayment (collectively, “Offset”).

• The participation of any Contracted Provider as a Participating Provider in a Product may be terminated by either Party giving the other Party at least 120 days prior written notice of such termination; in such event, Provider shall immediately notify the affected Contracted Provider of such termination.

• If Claim Administrator has made Overpayments to a Contracted Provider for more than one (1) Other Plan, Claim Administrator has the right to Offset two (2) or more of the Overpayments collectively, against future payments owed to Another Plan as part of a single transaction, resulting in an Overpayment recovery amount which shall be applied based on the age of the Overpayments, beginning with the oldest outstanding Overpayment, or has the right to Offset as otherwise set forth in this Section 4.

• Each Contracted Provider shall provide Covered Services to Covered Persons with the same degree of care and skill as customarily provided to patients who are not Covered Persons, within the scope of the Contracted Provider’s license and in accordance with generally accepted standards of the Contracted Provider’s practice and business and in accordance with the provisions of this Agreement, the Provider Manual, and Regulatory Requirements.

• Claim Administrator has the right to reduce Another Plan’s payment to a Contracted Provider by the amount necessary to recover the Plan's Overpayment to the same Contracted Provider and to remit the recovered amount to Employer (net of fees, if any).

More Definitions of Contracted Provider

Contracted Provider means a health care provider that has

Contracted Provider means an individual provider contracted with the department, individual provider employed by the consumer di- rected employer, or an individual or agency who is one or more of the following: Licensed, certified, or contracted by the department to provide services to DDA clients.

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

Contracted Provider means a physician, hospital, health care professional or any other provider of items or services that (i) is employed by or has a contractual relationship with Participating Physician, and (ii) has been approved for participation by CCO. The term “Contracted Provider” includes Participating Physician for those Covered Services provided by Participating Physician and for which Participating Physician has been approved for participation by CCO.

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