Preferred provider arrangement definition

Preferred provider arrangement means a contract, agreement or arrangement between a carrier or administrator and a provider in which the provider agrees to provide services to a health plan enrollee whose plan benefits include incentives for the enrollee to use the services of that provider.
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Preferred provider arrangement means a contract between the health care insurer and one or more health care providers which complies with all the requirements of this chapter.
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Preferred provider arrangement means a contract between the health care insurer
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More Definitions of Preferred provider arrangement

Preferred provider arrangement means a contract between or on behalf of the health care insurer and a preferred provider which complies with all the requirements of this chapter.
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Preferred provider arrangement means a contract between or on behalf of the health care insurer and a preferred provider [which] that complies with all the requirements of the Preferred Provider Arrangements Law."
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Preferred provider arrangement means a contract between or on
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Preferred provider arrangement means a contract between or on behalf of a health care insurer and a preferred provider which complies with the provisions of this act; and
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Preferred provider arrangement means a contract between or on behalf of the group coverage plan and a preferred provider that complies with the provisions of this section."
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Preferred provider arrangement means an alternative delivery system under which an in- surer contracts with health care providers for alternative rates of payment and allows insureds or subscribers to choose between contract health care providers and noncontract health care provid- ers.
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Related to Preferred provider arrangement

  • 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.

  • 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.

  • Provider Organization means a group practice, facility, or organization that is: