Network Provider definition

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.

Network Provider means hospitals or health care providers enlisted by an insurer or by a TPA and insurer together to provide medical services to an insured on payment by a cashless facility.

Network Provider means hospitals or health care providers enlisted by an insurer, TPA or jointly by an Insurer and TPA to provide medical services to an insured by a cashless facility

Examples of Network Provider in a sentence

• MCP must make available an application programming interface that makes complete and accurate Network Provider directory information available through a public-facing digital endpoint on MCP’s and MHP’s respective websites pursuant to 42 Code of Federal Regulations Sections 438.242(b) and 438.10(h).

• All original bills and evidence of treatment for the Medical Expenses incurred in respect of the Hospitalization of the Insured Person and all other information and documentation specified under Clauses 6.4 and 6.5 shall be submitted by the Network Provider immediately and in any event before the Insured Person’s discharge from Hospital.

• If the Company does not authorize the Cashless Facility due to insufficient Sum Insured or insufficient information provided to the Company to determine the admissibility of the Claim, then payment for such treatment will have to be made by the Policyholder / Insured Person to the Network Provider, following which a Claim for reimbursement may be made to the Company which shall be considered subject to the Insured Person’s Policy limits and relevant conditions.

• For Claim settlement under Cashless Facility, the payment shall be made to the Network Provider whose discharge would be complete and final.

• The Company extends Cashless Facility as a mode to indemnify the medical expenses incurred by the Insured Person at a Network Provider.

More Definitions of Network Provider

Network Provider means a health care provider who has an agreement with a managed care organization to provide health care services to an enrollee with an expectation of receiving payment, other than coinsurance, copayments, or deductibles, directly from the managed care organization.

Network Provider means hospitals en listed by insurer, TPA or jointly by an insurer and TPA to provide medical services to an insured by a cashless facility.

Network Provider means a provider who has a contract with the MA Dual SNP, or its subcontractor, for the delivery of healthcare services to the MA Dual SNP’s members.

Network Provider means a health care provider who has

Network Provider means either a network practitioner or a network facility.

Network Provider means the hospital/nursing home or health care providers enlisted by an insurer or by a TPA and insurer together to provide medical services to an insured on payment by a cashless facility. The list of Network Hospitals is maintained by and available with the TPA and the same is subject to amendment from time to time. PPN-Preferred Provider Network means a network of hospitals which have agreed to a cashless packaged pricing for certain procedures for the insured person. Updated list of network provider/PPN is available on website of the company (https://uiic.co.in/en/tpa-ppn-network- hospitals) and website of the TPA mentioned in the schedule and is subject to amendment from time to time.

Network Provider means an entity authorised by the Authority to provide telecommunication services including, but not limited to, fixed line operators, mobile operators, wireless operators or any other operator that provides access and network services (including value added services);