Crescent Provider definition

Crescent Provider means a Participating Physician, a hospital or any other provider or facility that (a) has contracted with Crescent to provide Covered Services to Members, (b) is a member of a group or institutional practice that has contracted with Crescent to provide Covered Services to Members and who is authorized to provide Covered Services to Members pursuant to that contract, (c) is under agreement to participate in a provider network administered by Crescent, or (d) is otherwise on a list of Crescent Providers distributed by Crescent. Facility, upon entering into this Agreement, will be a Crescent Provider.
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Examples of Crescent Provider in a sentence

  • Provider agrees that the terms of this Agreement shall continue in full force and effect after the effective date of Provider’s termination (either as an in In-Plan Provider for any HMO(s) or as a Crescent Provider) as to HMO Members who are confined to an inpatient facility at the time of such termination, until such HMO Members are ready for discharge from the facility.

  • Crescent shall not be liable to Provider or any other person for a failure of the Payor to pay any Recognized Charges or for any other breach of Payor’s obligations to Crescent, Provider or any other person.

  • If the election of such directors shall not be held on the day designated herein for any such annual meeting, or, if held, shall result in a failure to elect such directors, the directors shall cause such meeting to be held as soon thereafter as convenient.

  • That are performed by a person who is related to the Participant as a spouse, parent, child, brother or sister, whether the relationship exists by virtue of “blood” or “in law”, or are rendered by a member of the immediate Family Unit or person residing in the same household; Government.

  • Provider is under no obligation to participate in the pre-authorization process in order to become a Crescent Provider, nor is Provider obligated to use the pre- authorization process for any contracting opportunities presented to Provider through Crescent.

  • Facility agrees that the terms of this Agreement shall continue in full force and effect after the effective date of Facility’s termination (either as an in In-Plan Provider for any HMO(s) or as a Crescent Provider) as to HMO Members who are confined to an inpatient facility at the time of such termination, until such HMO Members are ready for discharge from the facility.

  • Facility is under no obligation to participate in the pre- authorization process in order to become a Crescent Provider, nor is Facility obligated to use the pre-authorization process for any contracting opportunities presented to Facility through Crescent.

  • Provider agrees to inform Members seeking medical care after the date of termination that Provider is no longer a Crescent Provider or an In-Plan Provider, as appropriate.

  • Facility agrees that any material misstatements in or omissions from its application to become a Crescent Provider shall constitute cause for retroactive cancellation of this Agreement by Crescent.

  • Physician agrees that any material misstatements in or omissions from his or her application to become a Crescent Provider shall constitute cause for retroactive cancellation of this Agreement by Crescent.

Related to Crescent Provider

  • Independent provider means a self-employed person who provides services for which he or she must be certified in accordance with rule 5123:2-2-01 of the Administrative Code and does not employ, either directly or through contract, anyone else to provide the services.

  • financial service provider means a person engaged in the business of providing financial services in terms of authorisation issued or registration granted by a financial sector regulator;

  • Replacement Provider has the meaning set forth in Section II.D.1.

  • Non-Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Non-Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Non-Administrator Hospital means a Hospital that does not meet the definition of an Administrator Hospital.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have 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 not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • Healthcare provider means a healthcare practitioner, person, or facility licensed, authorized, certified, registered, or regulated under title 33, title 63, title 68, federal law or order, or an executive order of the governor, including but not limited to any employees, agents, or contractors of such a practitioner, person, or facility, and residents, interns, students, fellows, or volunteers of an accredited school or of such school's affiliated teaching or training hospitals or programs in this state;

  • Investment Management Agreement or IMA means the Investment Management Agreement (IMA) dated December 9, 2002, executed between UTI Trustee Company Private Limited and UTI Asset Management Company Limited.

  • Electric provider means any of the following:

  • Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Health Service Provider means a body corporate with perpetual succession established under subsection 32(1)(b) of the Health Services Act 2016 (WA).

  • 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;

  • Asset Management Company/UTI AMC/AMC/Investment Manager means the UTI Asset Management Company Limited incorporated under the Companies Act, 1956, (1 of 1956) replaced by The Companies Act, 2013 (No. 18 of 2013) and approved as such by Securities and Exchange Board of India (SEBI) under sub-regulation (2) of Regulation 21 to act as the Investment Manager to the schemes of UTI Mutual Fund;

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

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • Technology provider means a person who:

  • FMC means The First Marblehead Corporation, a Delaware corporation.

  • Mental health provider means a health care provider or a health care facility authorized by state law to provide mental health services.

  • energy service provider means a natural or legal person who delivers energy services or other energy efficiency improvement measures in a final customer’s facility or premises;

  • 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.

  • Savings and Loan Holding Company means a company registered as such with the Office of Thrift Supervision pursuant to 12 U.S.C. §1467a(b) and the regulations of the Office of Thrift Supervision promulgated thereunder.

  • Family child care provider means a person who: (a) Provides