Contracting Physician definition

Contracting Physician means a licensed doctor who has entered into a contract with CareFirst BlueChoice to provide Covered Services to Members and has been designated by CareFirst BlueChoice as a Contracting Physician.

Examples of Contracting Physician in a sentence

  • The Member will be responsible for the same Copayment for each follow-up visit as would be required for a visit to a Contracting Physician for specialty care.

  • The Member must be under the care of a Primary Care Physician or other Contracting Physician.

  • A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting Physician.

  • The Member must be under the care of his or her Primary Care Physician or other Contracting Physician.

  • Diagnosis and treatment for Mental Illness and Emotional Disorders at Contracting Physician offices, other outpatient Contracting Provider medical offices and facilities, and in Qualified Partial Hospitalization Programs.

  • Services must be provided within the Service Area when requested by a Primary Care Physician or other Contracting Physician.

  • In consultation with the Member’s attending Contracting Physician, the Member may elect to stay less than the minimum prescribed above when appropriate.

  • For a Member who remains in the hospital for at least the length of time provided in Section 5.2.B, Inpatient Coverage Following a Mastectomy, coverage will be provided for a home visit if prescribed by the Member’s attending Contracting Physician.

  • For a mother and newborn child who remain in the hospital for at least the length of time provided under Section 5.2.D, Childbirth, benefits will be provided for a home visit if prescribed by the attending Contracting Physician.

  • An additional home visit if prescribed by the Member’s attending Contracting Physician.