Examples of Non-Network Provider in a sentence
Specialized Provider A provider who is a Non-Network Provider but who also holds a health care professional license that is not the same type held by any Network Provider in the service area in which the services are rendered.
If a pregnant Member in the third trimester of pregnancy has an established relationship with an obstetrical provider and desires to continue that relationship, and the provider is a Non-Network Provider, the CONTRACTOR shall reimburse the Non-Network Provider at the applicable Medicaid fee-for-service rate appropriate to the provider type.
Non-Network Individual Deductible The Non-Network Individual Deductible applies to Covered Expenses charged by a Non-Network Provider.
The term "Non-Network Provider" means a Provider that does not satisfy the definition of a Network Provider.
Emergency Care is payable at the Network level, even if services are received from a Non-Network Provider.