Covered Services Provider definition

Covered Services Provider means the person or entity authorized by CCH or CountyCare to provide Covered Services to Riders.
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Covered Services Provider means the person or entity authorized by CountyCare to provide Covered Services to Enrollee.
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Covered Services Provider means the person or entity authorized by CCHHS or CountyCare to provide Covered
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Examples of Covered Services Provider in a sentence

  • Upon prior written request, and to the extent permitted by law, Provider shall provide to OhioHealthy, to a Payor, to their designees, to appropriate state and federal authorities and their agents (involved in assessing the quality of care or investigating grievance or complaints from Beneficiaries) and to Beneficiaries, copies of medical records and information relating to the treatment and Covered Services Provider provided to Beneficiaries.

  • This Appendix applies to the Covered Services Provider provides to Medicare Advantage Customers.

  • Before a Provider provides items or services to a Member that are not Covered Services, Provider shall (a) inform the Member of the specific items or services that are not Covered Services and that they will not be paid for by Health Plan, and (b) obtain the Member’s written agreement to pay for such specific items or services after being so advised.

  • If a Covered Person requests contraceptive services or family planning services under Medicaid Covered Services, Provider must also provide the Covered Person counseling and education about family planning and available family planning services.

  • When billing for Covered Services, Provider must submit an itemized bill, showing Provider’s actual charges, on standard UB92 or CMS 1500 forms or by means reasonably acceptable to the applicable Payor or TPA; Provider will send such bills to Crescent, the TPA, or a Payor, as directed by Crescent.

  • By the 15th of the month following the month of the provision of Covered Service(s), Provider must submit completed and signed original billing vouchers indicating the number of units of authorized services provided to Participants during the previous month.

  • If Provider refers a client to an emergency room for Covered Services, Provider shall provide notification to GRBH-ASO within twenty-four (24) hours of the referral.

  • Provider shall be compensated for those Covered Services Provider provides to Members pursuant to this paragraph (both before and after the effective date of any termination of this agreement) in an amount equal to the compensation which Provider would have been entitled to receive had such services been provided prior to termination of this agreement.

  • By the 15th of the month following the month of the provision of Covered Service(s), Provider must submit completed and signed original billing vouchers indicating the number of units of authorized Covered Service(s) provided to Participants during the previous month.

  • In the event that Provider is unable to provide required Covered Services, Provider shall arrange for a covering provider.

Related to Covered Services Provider

  • Covered Services means all or a part of those medical and health services set forth in rule 441—86.14(514I).

  • Services Provider means a provider of telecommunications services or other services similar to the Services, including O2 or an O2 Affiliate or any direct or indirect supplier of O2 or an O2 Affiliate;

  • Regulatory Services Provider means the organization which provides regulatory services to BSEF pursuant to a Regulatory Services Agreement.

  • Emergency medical services provider means a person who has received formal training in prehospital and emergency care, and is licensed to attend any person who is ill or injured or who has a disability. Police officers, firefighters, funeral home employees and other persons serving in a dual capacity one of which meets the definition of “emergency medical services provider” are “emergency medical services providers” within the meaning of this chapter.

  • Wireless services provider means a person who provides wireless services.

  • Banking Services Provider means any Lender (other than a Defaulting Lender) or Affiliate of a Lender (other than a Defaulting Lender) that provides Banking Services to any Credit Party.

  • Financial Services Provider means any Lender and any other provider of financial services or products;

  • Non-Covered Services means those vision care services which are not Covered Services under Plan Contract(s).

  • Program services means services that include all of the following provided they are pursuant to a program agreement: program needs assessment and development, job task analysis, curriculum development and revision, instruction, instructional materials and supplies, computer software and upgrades, instructional support, administrative and student services, related school to career training programs, skill or career interest assessment services and testing and contracted services.

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • Shared Services means shared order filling or shared order processing, or both.

  • Provider is any individual or company that provides professional or technical services.

  • Covered service means a health care service provided to a

  • Shared Services Agreement means an agreement entered into between two or more municipalities, including the District Municipality, whereby the participating municipalities agree to share services described in the agreement;

  • Corporate Services Provider means Computershare Trust Company of Canada, a trust company formed under the laws of Canada, as corporate services provider to the Liquidation GP under the Corporate Services Agreement, together with any successor corporate services provider appointed from time to time;

  • Basic generation service provider or "provider" means a

  • Managed Services means the services provided by a Client to End Users using the SaaS and Client’s intellectual capital and/or additional services supplied by Client.

  • Education service provider means an education management organization, school

  • Finished Services means complete end-to-end services offered by Qwest to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.

  • The Services means those services ancillary to the supply of the Goods, such as transportation and insurance, and any other incidental services, such as installation, commissioning, provision of technical assistance, training, and other such obligations of the Supplier covered under the Contract.

  • Multiphase professional services contract means a contract for the providing of professional

  • Ambulance service provider means Latrobe Health Services recognises the following providers for the purposes of paying benefits:

  • Hosting Services means the provision, administration, and maintenance of servers and related equipment, the provision of bandwidth at the hosting facility, and the operation of the Application for access by Customer Users to be provided by the relevant hosting service provider.

  • Related Services means the services incidental to the supply of the goods, such as insurance, delivery, installation, commissioning, training and initial maintenance and other such obligations of the Supplier under the Contract.

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.