Narrow Network definition

Narrow Network means a network composed of a significantly limited number of Healthcare Providers that offers a range of Healthcare Services to an Insurer’s members for which all Providers that are not included in the network are out of network.
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Narrow Network means a reduced or selective provider network that is a subgroup or subdivision of a larger provider network and from which providers who participate in the larger network may be excluded.
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Examples of Narrow Network in a sentence

  • Reason Code 4: Network is an Accountable Care Organization (ACO) or Narrow Network.

  • For any Co-Branded Plan or Narrow Network in which Defendant is the most- prominently featured Provider, Defendant may restrict steerage within that Co-Branded Plan or Narrow Network.

  • For example, Defendant may restrict an Insurer from including at inception or later adding other Providers to any (i) Narrow Network in which Defendant is the most- prominently featured Provider, or (ii) any Co-Branded Plan.

  • The Narrow Network StrategyCurrent ImpetusThe primary current impetus for health insurers to adopt narrow network benefit designs is to gain greater leverage to negotiate lower prices with providers, especially hospitals and large medical groups.

  • Reason Code 4: Page 8 of 9 Network is an Accountable Care Organization (ACO) or Narrow Network.

  • Does your ACO or Narrow Network plan provide disease management services or does the plan rely on the carrier to provide disease management services.

  • Provide a description of how access was provided for affected enrollees in the last approval year Reason Code 4: Network is an Accountable Care Organization (ACO) or Narrow Network.

  • If you are offering an ACO or Narrow Network option, please provide a general background of the model including how long it has been in existence, number of employer groups participating, and number of members participating.

  • The City of Los Angeles has determined that the prescription drug coverage offered by the Anthem Vivity (LA & Orange Counties HMO), Anthem Narrow Network (Select HMO), Anthem Full (CA Care), Anthem PPO, and Kaiser Permanente HMO, is creditable meaning that, on average for all plan participants, it is expected to pay out as much as standard Medicare prescription drug coverage pays are therefore considered CreditableCoverage.

  • Japsen B, “Half of Obamacare Choices Are HMOs or Narrow Network Plans,” Forbes, January 13, 2016.

Related to Narrow Network

  • Open Wireless Network means any network or segment of a network that is not designated by the State of New Hampshire’s Department of Information Technology or delegate as a protected network (designed, tested, and approved, by means of the State, to transmit) will be considered an open network and not adequately secure for the transmission of unencrypted PI, PFI, PHI or confidential DHHS data.

  • Core Network means the transport infrastructure identified in accordance with Chapter III of Regulation (EU) No 1315/2013;

  • Interoperability means the ability of a CenturyLink OSS Function to process seamlessly (i.e., without any manual intervention) business transactions with CLEC's OSS application, and vice versa, by means of secure exchange of transaction data models that use data fields and usage rules that can be received and processed by the other Party to achieve the intended OSS Function and related response. (See also Electronic Bonding.)

  • Network means the participating providers described in the Provider Directory.

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • functionality means the ability of a tenderer to provide goods or services in accordance with specifications as set out in the tender documents.

  • Connectivity means the provision of a Permanent Separated Bicycle Lane system that reflects desired routes between all major origins and destinations in the city.

  • Out-of-network means providers and facilities that haven’t signed a contract with your health plan to provide services. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit.