Medical group definition

Medical group means a group of physicians and other health care providers who have organized themselves to provide services to a defined patient population or contract with a Health Issuer or hospital.

Medical group or "staff model" means a partnership, association or other group:

Medical group or "group practice" means a

Examples of Medical group in a sentence

• IN‐AREA TREATMENT OF AN EMERGENCY You are considered to be in your Participating IPA's/Participating Medical Group's treatment area if you are within 30 miles of your Participating IPA/Participating Medical Group.

• If your Hospital stay is longer than the usual length of stay for your type of condition, the Participating IPA/Participating Medical Group will contact your Primary Care Physician or Woman's Principal Health Care Provider to determine whether there is a medically necessary reason for you to remain in the Hospital.

• CONCURRENT REVIEW Once you have been admitted to a Hospital as an Inpatient, your length of stay will be reviewed by the Participating IPA/Participating Medical Group.

• OUT‐OF‐AREA TREATMENT OF AN EMERGENCY If you are more than 30 miles away from your Participating IPA/Participating Medical Group and need to obtain treatment for an Emergency Medical Condition, benefits will be provided for the Hospital and Physician services that you receive.

• Requirements: Blue Cross and Blue Shield requires that any Mental Illness and/or Substance Use Disorder Intensive Outpatient Program must be licensed in the state where it is located or accredited by a national organization that is recognized by your Participating IPA or Participating Medical Group as set forth in its current credentialing policy, and otherwise meets all other credentialing requirements set forth in such policy.

More Definitions of Medical group

Medical group means 1 or more physicians or other health care practitioners who work together under the name of a professional corporation, a limited liability partnership, or other legal entity.

Medical group means a professional corporation

Medical group means a group of physicians practicing in a professional corporation or association, which has contracted with the SIMNSA Health Plan to provide Covered Services to said Members who have selected a Primary Care Physician who is a member of that Medical Group.

Medical group means those health care providers who

Medical group means Pinnacle Medical Group, P.A., a New Jersey professional ------------- corporation.

Medical group means Spacelabs Healthcare, Inc., Dolphin Medical, Inc., Dolphin Merger Corporation, Spacelabs Medical, Inc., Osteometer Meditech, Inc., and each Subsidiary of the Company determined by the Agent, in its Permitted Discretion, to be engaged in a medical line of business.

Medical group means a group of PCP and/or specialist physicians who: