Paid Provider definition

Paid Provider means a provider who is issued a provider number for purposes of submitting medical assistance program claims for payment by the Authority.
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Paid Provider means an individual or agency who meets the requirements to be a provider and who will provide services for a fee.
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Paid Provider means a provider who meets the requirements in this rule for enrollment, billing, and payment.
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Examples of Paid Provider in a sentence

  • Example: Dates Of Service Services Provided Amount Charged Medicare ApprovedMedicare Paid Provider You May Be Billed See Notes SectionJohn Smith MD 123 West StreetJacksonville, FL 32231 06/06/951 Office/OutpatientVisit, Est (99214) $80.00 $57.25 $45.80 $0.00 b 06/06/951 Removal of Skin Lesion (11441) $65.00 $49.71 $14.20 $0.00 b,c 06/06/951 Destroy Benign/Premal.

  • In order to complete the 'Medicare Paid Provider' and 'Medicare Paid You' columns for MSP claims, you must apportion the total amount Medicare paid on the claim among the approved service lines.

  • The pay for performance measures are as follows:95% or above of all completed Registered Child Development Home (CDH) and Child Care Assistance (CCA) Paid Provider Applications shall be submitted to the Agency’s Centralized Child Care Unit each year (July 1st – June 30th), without the need for additional Agency follow-up, including but not limited to: missing documentation, unsigned documents, incorrect information, information not satisfying established criteria, etc.

  • The provider number indicated must be 5 or 10 positions.‌ A) BC Paid Provider # BC Paid Provider # ‌ Instructions for completing the Transaction SelectionThis section will provide BCBSLA EDI staff with the transactions the Trading Partner would like to exchange with BCBSLA.

  • Paid: Provider Core # APPROVED THROUGHDecember 31, Reviewed By Date: KENTUCKY BOARD OF NURSING312 WHITTINGTON PARKWAY, SUITE 300LOUISVILLE, KY 40222-5172(502) 429-3300 APPLICATION FOR PROVIDER APPROVAL Instructions: Please provide the information requested and submit to the Kentucky Board of Nursing at the above address.

  • For indicative purposes only and without any obligation of any kind on the part of the IOC and/or OBS in that respect, it is understood that, based on the experience of the IOC/OBS from previous editions of the Olympic Winter Games, the value of the services to be provided by IOC/OBS for the Games pursuant to this Section 14e is currently estimated at one hundred and seventy million United States dollars (US$ 170’000’000).

  • The paid time is listed below and all other times needed to assist with the task are provided by a natural support.• Paid Provider Only: Member receives Attendant Care and a paid provider assists the member with the task.• Habilitation Outcome: Member receives Habilitation related to this task.Person Providing Natural Supports/Informal Supports: 6A.

  • Paid: Provider Core # APPROVED THROUGH December 31, Reviewed By Date: KENTUCKY BOARD OF NURSING312 WHITTINGTON PARKWAY, SUITE 300LOUISVILLE, KY 40222-5172(502) 429-3300 APPLICATION FOR PROVIDER APPROVAL Instructions: Please provide the information requested and submit to the Kentucky Board of Nursing at the above address.

  • MEAL PREPARATION AND CLEAN UPIndependent Natural Support Paid Provider and Natural Support Paid Provider Only Habilitation OutcomeMake only one choice indicating whether the member eats alone or with family.

  • Seller has the requisite corporate power and authority to enter into this Agreement, including the Registration of Rights Agreement, and to perform its obligations hereunder and thereunder.

Related to Paid Provider

  • Approved provider means a provider of services registered with the appropriate association or organization to render services to a member and approved by Latrobe to render services to its members.

  • Designated provider means a person who:

  • Recognised Provider (Approved Provider) means a provider of services registered with the appropriate association or organization to render services to a member and approved Latrobe to render services to its members.

  • Affiliated provider means a health professional, licensed hospital, licensed pharmacy, or any other institution, organization, or person that has entered into a participating provider contract, directly or indirectly, with a health maintenance organization to render 1 or more health services to an enrollee. Affiliated provider includes a person described in this subdivision that has entered into a written arrangement with another person, including, but not limited to, a physician hospital organization or physician organization, that contracts directly with a health maintenance organization.

  • Qualified provider means a person or business experienced in the design, implementation, and installation of energy conservation measures. A qualified provider to whom the contract is awarded shall give a sufficient bond to the municipality for its faithful performance.

  • Preferred Provider or “Network Provider” means a doctor, hospital, medical facility or other provider of health care which is included in a network which has been designated by the Fund to render health related services to Fund participants.

  • Registered Provider means a registered provider of social housing (see section 80 of the Housing and Regeneration Act 2008);

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Related provider trust means a titling trust or other trust established by a licensed viatical settlement provider or a financing entity for the sole purpose of holding the ownership or beneficial interest in purchased policies in connection with a financing transaction. The trust shall have a written agreement with the licensed viatical settlement provider under which the licensed viatical settlement provider is responsible for ensuring compliance with all statutory and regulatory requirements and under which the trust agrees to make all records and files related to viatical settlement transactions available to the commissioner as if those records and files were maintained directly by the licensed viatical settlement provider.

  • Participating Provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Provider is any individual or company that provides professional or technical services.

  • Preferred Provider Organization (PPO) means a health insurance issuer's or carrier's insurance policy that offers covered health care services provided by a network of providers who are contracted with the issuer or carrier (“in-network”) and providers who are not part of the provider network (“out-of-network”).

  • Local Service Provider (LSP) is the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.

  • Third Party Contractor as used in the Student Data Protection Act and “Operator” as used in COPPA. De-Identified Information (DII): De-Identification refers to the process by which the Contractor removes or obscures any Personally Identifiable Information (“PII”) from Education Records in a way that removes or minimizes the risk of disclosure of the identity of the individual and information about them.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.

  • Services Provider means a provider of telecommunications services or other services similar to the Services, including O2 or an O2 Affiliate or any direct or indirect supplier of O2 or an O2 Affiliate;

  • Subcontractor means any supplier, distributor, vendor, or firm that furnishes supplies or services to or for a prime contractor or another subcontractor.

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Service Subcontract means a subcontract primarily for the furnishing of services, to or for a recipient of Assistance, except where services are incidental to the delivery of products, equipment or commodities. A contract for the purchase or lease of goods, products, equipment, supplies or other property is not a “service subcontract” for the purposes of this definition.

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Third-party logistics provider means an entity that provides

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or a facility which has not been designated by the Claim Administrator as a Participating Provider.