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

• We may, as we determine, pay an out-of- Network provider directly for services rendered to you.

• If a provider leaves the Network or is otherwise not available to you, you must choose another Network provider to get Benefits.

• Some Network providers choose to be a Network provider for only some of our products.

• Or you might find that a particular Network provider may not be accepting new patients.

• However, if you receive a Covered Health Care Service from an out-of-Network provider, as a result of an Emergency or if we authorize services from an out-of-Network provider, we will reimburse the out-of-Network provider for any out-of- Network cost you incurred that you would not have otherwise incurred if you had received the Covered Health Care Service from a Network provider, as described in the Schedule of Benefits.

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 a provider of health care, or a group of providers of health care, that has entered into a written agreement with the issuer to provide benefits insured under a Medicare select policy or certificate;

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.