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

  • Mobile Network means a 3G or 4G network or any other mobile communications network which we choose to provide Mobile services.

  • Digital network means any online-enabled application, software, website or system offered or utilized by a transportation network company that enables the prearrangement of rides with transportation network company drivers.

  • ACH Network means the funds transfer system, governed by the NACHA Rules, that provides funds transfer services to participating financial institutions.

  • Area network means a type of electric distribution system served by multiple transformers interconnected in an electrical network circuit, which is generally used in large metropolitan areas that are densely populated, in order to provide highly reliable service. Area network has the same meaning as the term "distribution secondary grid network" found in institute of electrical and electronics engineers (IEEE) standard 1547 sub clause 4.1.4.

  • 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.

  • Common Channel Signaling (CCS means an out-of-band, packet-switched, signaling network used to transport supervision signals, control signals, and data messages. It is a special network, fully separate from the transmission path of the public switched network. Unless otherwise agreed by the Parties, the CCS protocol used by the Parties shall be SS7.

  • Common Channel Signaling (CCS) means an out-of-band, packet-switched, signaling network used to transport supervision signals, control signals, and data messages. It is a special network, fully separate from the transmission path of the public switched network. Unless otherwise agreed by the Parties, the CCS protocol used by the Parties shall be SS7.

  • 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.

  • Synchronous Optical Network (SONET) is an optical interface standard that allows inter-networking of transmission products from multiple vendors. The base rate is 51.84 Mbps (“OC-1/STS-1”) and higher rates are direct multiples of the base rate, up to 13.22 Gbps.

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

  • Synchronous Optical Network (SONET means the optical interface standard that allows inter-networking of transmission products from multiple vendors. The base rate is 51.84 Mbps (“OC 1/STS 1”) and higher rates are direct multiples of the base rate, up to 13.22 Gbps.

  • Secure Network means a network which is only accessible by Secure Authentication.

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

  • Game has the meaning ascribed to that term in the Control Act;

  • Google means the Google Entity that is party to the Agreement.

  • 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.

  • Customer System means the Customer's computing environment (consisting of hardware, software and/or telecommunications networks or equipment) used by the Customer or the Supplier in connection with this Contract which is owned by or licensed to the Customer by a third party and which interfaces with the Supplier System or which is necessary for the Customer to receive the Services;

  • Integrated Services Digital Network (ISDN means a switched network service that provides end-to-end digital connectivity for the simultaneous transmission of voice and data. Basic Rate Interface-ISDN (BRI-ISDN) provides for a digital transmission of two (2) 64 Kbps bearer channels and one (1) 16 Kbps data channel (2B+D).

  • Interface means the mixture occurring in pipeline operations between adjoining batches having similar or dissimilar physical characteristics.

  • Network Service User means an entity using Network Transmission Service.