Preferred Provider Agreement definition

Preferred Provider Agreement means an agreement between a Provider and Blue Shield, regardless of the title, enabling such Provider to participate in the Preferred Provider network.
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Preferred Provider Agreement means a contract between or on behalf of a health care insurer and a preferred provider.
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Preferred Provider Agreement means the agreement in the form attached as Annexure 3.
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Examples of Preferred Provider Agreement in a sentence

  • The explanation of benefits shall include at a minimum, a listing of billed charges, the charges as adjusted under a Preferred Provider Agreement, charges not eligible, charges paid, deductible applied, calculation of rate paid, listing of payees and amounts, the amount to be paid by the Participant including the amount of any balance billing liability, and the reason for ineligibility or denial if applicable.

  • The provisions contained in Part III of these Regulations are applicable to all current and former active versions of the PremierBlue Shield Preferred Provider Agreement, regardless of their title.

  • Part III of these Regulations applies to you as a PremierBlue Shield Preferred Provider ONLY, regardless of the version of the PremierBlue Shield Preferred Provider Agreement you hold.

  • Preferred Provider acknowledges and reaffirms the hold harmless provision in Section 5.11 of Part I of these Regulations and agrees that such provision shall survive the termination of the Preferred Provider Agreement and is to be construed for the benefit of the Members.

  • The participation of any Provider as a Preferred Provider shall be effective upon acceptance by Blue Shield of Provider’s application, Provider’s satisfaction of all applicable credentialing criteria, and execution of the Preferred Provider Agreement by Blue Shield.

  • As promptly as practicable, Project Manager will report in writing any safety-related injury, loss, damage or accident arising from the Work to Owner’s Designated Representative and, to the extent mandated by legal requirements, to all government or quasi-government authorities having jurisdiction over safety-related matters involving the Project or the Work.

  • A Provider’s participation with Blue Shield as a Preferred Provider shall continue until such time as the Preferred Provider Agreement is terminated by either party in accordance with the terms of the Preferred Provider Agreement.

  • Blue Shield may reject an application to be a Preferred Provider, or may terminate the participation as a Preferred Provider, in accordance with the terms of the Preferred Provider Agreement, these Regulations and/or Administrative Requirements.

  • Notwithstanding the foregoing, for so long as the Preferred Provider Agreement remains in effect between Purchaser and OpNext USA, Purchaser may not terminate this Agreement as a result of any breach of this Agreement by Seller.

  • Seller agrees that, except as contemplated by this Agreement and the Preferred Provider Agreement, during the two-year period following the date of the Closing, Seller and its affiliates will not compete with Buyer by engaging, directly or indirectly, in the business of providing lift boat services to the offshore oil drilling industry in the waters offshore of West Africa (the “Competitive Business”).


More Definitions of Preferred Provider Agreement

Preferred Provider Agreement is defined in Section 2.3(a)(vii).
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Preferred Provider Agreement means the agreement between MedAire and PT Medika Jasa Utama as set out in Annexure 3.
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Preferred Provider Agreement means that agreement dated the date hereof between Sellers and Buyer substantially in the form attached hereto as Exhibit B.
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Preferred Provider Agreement means an agreement between a Provider and the Network pursuant to which negotiated rates are established for payment of covered services rendered to a Participant.
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Related to Preferred Provider Agreement

  • 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”).

  • 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.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • 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.

  • Provider Agreements means all participation, provider and reimbursement agreements or arrangements now or hereafter in effect for the benefit of Tenant or any Manager in connection with the operation of any Facility relating to any right of payment or other claim arising out of or in connection with Tenant’s participation in any Third Party Payor Program.