Participating healthcare provider definition

Participating healthcare provider means a healthcare
Sample 1Sample 2Sample 3
Participating healthcare provider means a health care Provider that has a contractual agreement with a Host Blue.
Sample 1Sample 2Sample 3
Participating healthcare provider means a healthcare provider with whom a health insurance entity has a network provider agreement or contract;
Sample 1Sample 2Sample 3

Examples of Participating healthcare provider in a sentence

  • In these situations, Plan Participant may be liable for the difference between the amount that the Non- Participating healthcare provider bills and the payment Claims Administrator will make for the covered services as set forth in this paragraph.

  • This gives (a, c) and (c, a) as (symmetric) confusions, respectively.

  • In these situations, Plan Participant may be liable for the difference between the amount that the Non- Participating healthcare provider bills and the payment the Plan will make for the covered services as set forth in this paragraph.


More Definitions of Participating healthcare provider

Participating healthcare provider means an entity that has executed a contract with Wyoming Medicaid and has a qualifying taxonomy code.
Sample 1Sample 2
Participating healthcare provider means a Healthcare Provider who has entered into a valid written contract with Company (directly or indirectly through a Healthcare Provider Organization, Healthcare Provider Group or other entity authorized by the Healthcare Provider at the time the claim arose) to provide Covered Services to Plan Members and, where applicable, who meets Company’s credentialing requirements, during the effective period of such a contract.
Sample 1
Participating healthcare provider means a healthcare provider that has a healthcare contract with a contracting entity to provide healthcare services to enrollees with the expectation of receiving payment from the contracting entity or a healthcare insurer affiliated with the contracting entity; and
Sample 1

Related to Participating healthcare provider

  • Healthcare provider means a healthcare practitioner, person, or facility licensed, authorized, certified, registered, or regulated under title 33, title 63, title 68, federal law or order, or an executive order of the governor, including but not limited to any employees, agents, or contractors of such a practitioner, person, or facility, and residents, interns, students, fellows, or volunteers of an accredited school or of such school's affiliated teaching or training hospitals or programs in this state;

  • Health care provider or "provider" means:

  • Health care professional means a physician or other health care practitioner licensed, accredited or certified to perform specified health care services consistent with state law.

  • Child care provider means a provider who receives compensation for providing child care services on a regular basis, including an ‘eligible child care provider’ (as defined in section 658P of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858n)).