IPA Member definition

IPA Member. A Member who has selected a PCP as such individual's primary care physician.
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IPA Member. Any party to the IPA Organization Agreement dated May 10, 1977, as such Agreement has been or may hereafter be amended from time to time.
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IPA Member means Members who have selected or who have been assigned a Participating Physician as their Primary Care Physician.
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Examples of IPA Member in a sentence

  • In return for the Compensation, IPA agrees to arrange and pay for all of the IPA Services that WellCare is obligated to arrange and pay for pursuant to the IPA Member Benefit Plans.

  • Creative teaching and learning tries to find solutions to the challenges occurring due to the cultural and socioeconomic diversity of the students.

  • Additionally, WellCare shall deliver to IPA (i) copies of all IPA Member Benefit Plans, simultaneously with the execution hereof and (ii) any amendments thereto, not less than thirty (30) days prior to the effective date of such amendments.

  • WellCare shall obtain from each IPA Member all releases and consents that may be required to permit release of records to WellCare.

  • Father ………………………………… Occupation ………………………...Name of IPA Member (parent/grandparent) ……………………………………….IPA Membership No…………………………………………………………………...Person to be contacted in case of emergency …………………………………….Full address ………………………………………………………………………………………………………………………………………………………………………..

  • IPA shall implement cash management policies in keeping with sound financial management practices in order to ensure timely and accurate payment to all providers who provide Medically Necessary IPA Services to IPA Members, acknowledging that WellCare is responsible for the final determination of benefit payments to be made under an IPA Member Benefit Plan.

  • RxPA request is submitted to IEHP by mistake; request is retracted or cancelled by the prescribing Provider; request is lacking minimum required information to make a clinical decision; request is for a carve-out medication or medical supply that is covered by the Delegated IPA; Member has California Children’s Services (CCS) coverage; Member is not eligible with IEHP; a duplicate of a previously submitted case; submitted by a sanctioned Provider; or Member has other primary insurance.

  • An IPA Member suspended or expelled by the Board may request that an adverse decision be reconsidered by filing a written petition with the President, who shall appoint, subject to the Board’s approval, an ad hoc review panel of five (5) senior IPA Members who are not voting members of the Board; the review panel shall review the facts pursuant to procedures prescribed by the Board and issue an advisory recommendation to the Board, which shall review the matter at its next meeting.

  • Each IPA Member may vote for up to seven (7) candidates for Representative from that IPA Member’s Geographical Area.

  • FOR OUT-OF-NETWORK SERVICES - Notwithstanding anything to the contrary in Section 3.07 or elsewhere in the Agreement, if an IPA Member Physician or Specialist Physician provides Out-of-Network Services to a Secure Horizons Point-Of-Service Plan Subscriber, IPA shall xxxx PacifiCare or PacifiCare's designee for payment for such services and agrees to accept full reimbursement at [ ** ] of the Medicare Locality Fee Schedule for Participating Providers as published by the Part B carrier.


More Definitions of IPA Member

IPA Member means a person eligible and enrolled with HMO to receive Covered Services, and who has selected or been assigned to an IPA Primary Care Physician.
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Related to IPA Member

  • A Member means a companion, fellow, member, honorary member, associate or affiliate of the Society

  • of a Member means the salary corresponding in any given year to a full-time appointment at the member's rank and step, as set out for that year in Schedule A.

  • ☐ - MULTI-MEMBER The “Capital Account” for each Member shall mean the account created and maintained for the Member in accordance with Section 704(b) of the Internal Revenue Code and Treasury Regulation Section 1.704-1(b)(2)(iv).

  • crew member means a person assigned by an operator to duty on an aircraft during a flight duty period;

  • New member means a person first employed on or after Septem- ber 1, 2005, including a former member who withdrew retirement contributions under Government Code 822.003 and is reemployed on or after September 1, 2005.

  • Member Company means a “service recipient” as defined in Treasury Regulation § 1.409A-1(h)(3).

  • Member Club means any past or present member club of the NFL or any past member club of the American Football League.

  • Class A Member means a Member holding one or more Class A Ordinary Shares.

  • Staff member means a staff member as defined in section 1(1) of the Public Service Act, 1995 (Act No. 13 of 1995);

  • Bank Member means Standard Chartered PLC or any of its Affiliates and "Group" means all Bank Members.

  • Founding Member means any individual who is either:

  • Member means a member of the Board;

  • Public member means an individual who is not, and never

  • Tribal Member means an enrolled member of the Tribe.

  • Council Member means a member of the Council;

  • Potential Member means an individual who meets the eligibility requirements to enroll in the Oregon Health Plan but has not yet enrolled with a specific PHP or CCO.

  • Initial Member has the meaning set forth in the introductory paragraph.

  • Panel Member ’ means a member of a panel;

  • Class B Member means a Member holding one or more Class B Ordinary Shares.

  • Founder Member means a subscriber to these rules for the purposes of registration;

  • Officer member means a member of the Trust who is either an officer of the Trust or is to be treated as an officer by virtue of regulation 1(3) (i.e. the Chairman of the Trust or any person nominated by such a Committee for appointment as a Trust member).

  • Individual Member means a registered, financial Member of the Club who is at least 18 years of age.

  • Managing Member means CEF Equipment Holding, L.L.C., a Delaware limited liability company or any successor Managing Member under the Issuer Limited Liability Company Agreement.

  • Full Member means any person who is in one of the categories of membership referred to in Rule 10.3.

  • Non-Managing Member means any Member other than the Managing Member.

  • Limited Partner means, prior to the admission of the first Additional Limited Partner to the Partnership, the Initial Limited Partner, and thereafter any Person named as a Limited Partner in Exhibit A, as such Exhibit may be amended from time to time, upon the execution and delivery by such Person of an additional limited partner signature page, or any Substituted Limited Partner or Additional Limited Partner, in such Person’s capacity as a Limited Partner of the Partnership.