HMHP Provider definition

HMHP Provider means any physician, physician practice, hospital, or other health care services provider that has entered into a written contract with HMHP to participate in the Clinical Integration program and to be part of the Clinically Integrated Network and any health care services provider who is an employee, partner, member or shareholder of an entity that has entered into a written contract with HMHP, including the Participating Physicians.
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Examples of HMHP Provider in a sentence

  • Notwithstanding the foregoing, Participating Physicians may refer Enrollees to a non HMHP Provider where: (i) the Enrollee exercises his or her choice for admission to, or services or treatment from, such facility or provider; (ii) the Enrollee’s benefit plan permits the Enrollee to make such election; and (iii) the Participating Physician obtains authorization from HMHP’s medical director in advance of such referral.

Related to HMHP Provider

  • 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.

  • 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;

  • Data Provider means a Participant that is registered to provide information to GS1 South Africa for use through the Verified by GS1 Services.

  • Network Provider means a provider of health care, or a group of providers of health care, which has entered into a written agreement with the issuer to provide benefits insured under a Medicare Select policy.

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

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Content Provider means any video programming provider of copyrighted works for transmission to Licensed Products and the copyright owners of such work.

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

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

  • Enhancement Provider means the Person providing any Enhancement as designated in the applicable Series Supplement.

  • Wireless provider means a wireless infrastructure provider or a wireless services provider.

  • Participating Provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Technology provider means a person who:

  • 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;

  • Non-Network Provider means any hospital, day care centre or other provider that is not part of the network.

  • Cap Provider means the third-party financial institution approved by Lender that is the counterparty under any Cap Agreement or Replacement Cap Agreement.

  • Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.

  • Interconnection Provider means PacifiCorp Transmission.

  • Primary care provider means a participating provider who supervises, coordinates, or provides initial care or continuing care to a covered person, and who may be required by the health carrier to initiate a referral for specialty care and maintain supervision of health care services rendered to the covered person.

  • Nonparticipating provider means a person, health care provider, practitioner, facility, or entity, acting within their scope of practice, that does not have a written contract to participate in a managed health care system's provider network, but provides health care services to enrollees of programs authorized under this chapter or other applicable law whose health care services are provided by the managed health care system.

  • Individual provider means an individual provider as defined

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • 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.

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Third-party logistics provider means an entity that provides