Designated Network definition
Examples of Designated Network in a sentence
Provider agrees to refer Covered Individuals to Network/Participating Providers in a Health Services Designated Network for the provision of certain Health Services, even if Provider performs such services.
Notwithstanding the Out of Network Compensation provision of this Agreement, if Provider provides a Health Service to a Covered Individual for which Provider is not a designated Network/Participating Provider in a Health Services Designated Network, then Provider agrees that he/she/it shall not be reimbursed for such services by Anthem, Plan or the Covered Individual.
In addition to and separate from Networks that support some or all of Plan's product(s) and/or program(s) (e.g., HMO, PPO and Indemnity products), Provider further acknowledges that certain Health Services, including by way of example only, laboratory services, may be provided exclusively by designated Network/Participating Providers (a "Health Services Designated Network"), as determined by Plan.