Contracting Provider means any physician, health care professional, health care facility, or Contracting Pharmacy Provider that has contracted with CareFirst BlueChoice, Inc. to render Covered Services to Members. A Preferred Dentist who provides Covered Dental Services or a Contracting Vision Provider who provides Covered Vision Services is not a Contracting Provider for the purposes of this definition. Contracting Vision Provider means any optometrist or ophthalmologist licensed as such by the duly constituted authority in the jurisdiction in which Covered Vision Services are rendered when acting within the scope of such license and that has contracted with the Vision Care Designee to provide Covered Vision Services.
Contracting Provider means a Provider who has signed a Contract with this Company to provide the services covered by this Benefit Certificate to Covered Persons. The Company will pay the Contracting Provider directly.
Contracting Provider means any physician, health care professional, health care facility, or Contracting Pharmacy Provider that has contracted with CareFirst BlueChoice, Inc. to render Covered Services to Members. A Preferred Dentist who provides Covered Dental Services or a Contracting Vision Provider who provides Covered Vision Services is not a Contracting Provider for the purposes of this definition. Contracting Vision Provider means any optometrist or ophthalmologist licensed as such by the duly constituted authority in the jurisdiction in which Covered Vision Services are rendered when acting within the scope of such license and that has contracted with the Vision Care Designee to provide Covered Vision Services. Convenience Item means personal hygiene and convenience items, including, but not limited to; air conditioners, humidifiers, physical fitness equipment, elevators, xxxxx/stair lifts, ramps, shower/bath benches, and items available without a prescription. Copayment (Copay) means the fixed dollar amount that a Member must pay for certain Covered Services, Covered Dental Services or Covered Vision Services. Cosmetic means a service or supply which is provided with the primary intent of improving appearance, not restoring bodily function or correcting deformity resulting from disease, trauma, or previous therapeutic intervention, as determined by CareFirst BlueChoice.
Examples of Contracting Provider in a sentence
If the Member has paid a Contracting Provider or Non-Contracting Provider for Covered Services rendered, benefits will be payable to the Member.
CareFirst BlueChoice provides coverage for the services listed below in Contracting Providers’ offices or in other Contracting Provider facilities.
If Contracted Provider savings are available from a Host Blue, BCBSNE may be charged a fee for Covered Persons to access the Host Blue's Contracting Provider network.
The Member is responsible for any applicable Deductible, Copayment and Coinsurance stated in the Schedule of Benefits, and the Contracting Provider or Non-Contracting Provider may bill the Member directly for such amounts.
More Definitions of Contracting Provider
Contracting Provider means a physician or other health care
Contracting Provider means any medical group or medical organization, physician (also referred to herein as "Contracting Physician"), hospital (also referred to herein as "Contracting Hospital") and other health care providers, who have entered into a written agreement with Company to provide Covered Services to Members.
Contracting Provider means any Physician or Allied Health Professional who provides medical or health care services by and through the Practice as an independent contractor of VA, and does not include providers who contract with VA to provide Outside Provider Services.
Contracting Provider means any licensed physician who has contracted with a particular insurance company and is considered in-network.
Contracting Provider. MEANS A PHYSICIAN OR OTHER HEALTH CARE PROVIDER WHO ENTERS INTO AN ADMINISTRATIVE SERVICE PROVIDER CONTRACT
Contracting Provider means a Hospital facility, health care facility, laboratory, person or other provider of medical services which has a written agreement with the HMO or PRACTICE at the time Covered Services are provided to Members.
Contracting Provider means a Provider who has signed a Contract with this Company to provide theservices covered by this Policy to Covered Persons. The Company will pay the Contracting Provider directly.