Primary Care Physicians definition

Primary Care Physicians means family or general practitioners, general internists, and general pediatricians.
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Primary Care Physicians. (“PCP”) means the Physician responsible for supervising, coordinating, and providing initial and primary care to each Member who selects or is assigned to such physician. The PCP is responsible for: managing the delivery of all health and medical care services; for initial referrals for specialist care; and for maintaining the continuity of patient care to such Members. PCP includes physicians practicing in the area of internal medicine, general and family practice, or pediatrics; and may also include physicians in other areas of practice, as applicable, to the extent permitted by VHP and Applicable Requirements.
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Primary Care Physicians or "PCP(s)" means that Preferred Professional designated by Payer and/or PROHEALTH from whom a Covered Person must receive Health Care Services and/or through who Covered Persons are required to access Health Care Services, except in Emergencies, in order for such Services to be considered by Payer and/or PROHEALTH to be Covered Services under the Payer's benefit plan and/or the extent to which such Services, when Covered Services, are reimbursable under such plan(s).
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Examples of Primary Care Physicians in a sentence

  • Prior authorization is not required for Clinic Visits rendered in a hospital, hospital clinic or health care provider’s office on a hospital campus.1.1 Office VisitsBenefits are available for office visits for the diagnosis and treatment of a medical condition, including care and consultation provided by Primary Care Physicians or other Contracting Providers.

  • The office visit co-payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists.

  • A list of Practitioners/Providers who serve as In-network Primary Care Physicians may be found in the Provider Directory.

  • The list of Providers in the Physician and Hospital Directory includes the location and phone numbers of all Primary Care Physicians, Plan Hospitals, and Participating Hospice Agencies in the Primary Care Physician Service Area.

  • Each Subscriber must select a Primary Care Physician for himself and each of his Dependents from the list of Primary Care Physicians in the HMO Physician and Hospital Directory.

  • The office visit co- payments for the HMO Plan shall be $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists.

  • Primary Care Physicians (PCPs) must evaluate a Member’s need for LTC skilled level placement.

  • Primary Care Physicians include, but are not limited to, General Practitioners, Family Practice Physicians, Internists, Pediatricians, and Obstetricians/Gynecologists (if applicable).

  • Variation among Primary Care Physicians in the Use of Imaging for Older Patients with Acute Low Back Pain.

  • The office visit co- payments for the POS Plan shall $15.00 per visit for Primary Care Physicians and $30.00 per visit for Specialists.


More Definitions of Primary Care Physicians

Primary Care Physicians shall not refer Members except in accordance with Utilization Management procedures of the Plan and/or policies adopted by the IPA from time to time, and shall (i) refer a Member to another Participating Physician or Provider for non-emergency Covered Services, or (ii) self refer for other than primary care services, only upon compliance with the Referral Management Program as prescribed by the Plan or IPA. Specialist Physicians shall provide non emergency Covered Services (including diagnostic services) to a Member upon referral, by the Member's Primary Care Physician unless such referral authorization is not required and, if applicable, upon receipt of authorization from IPA, except in case of emergency. Specialist Physicians shall only refer a Member to another Participating Physician or other Participating Provider for non-emergency Covered Services upon compliance with the Referral Management Program. Failure of Physician to obtain such prior authorizations when applicable shall constitute a material breach of this Agreement which shall entitle IPA, at its option, to terminate this Agreement under Paragraph 8(a) below.
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Primary Care Physicians means Physicians as defined by [***].
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Primary Care Physicians means physicians who specialize in general or family practice medicine, internal medicine, or pediatric medicine and are participating providers in a Member Company's network other than in the Central Pennsylvania Region or Ohio.
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Primary Care Physicians are those physicians whose prescribing practices indicate that the primary characteristic of such person's practice is that of a primary care physician regardless of whether such person claims to be, or is certified as, a General Practitioner, Family Practitioner, Internal Medicine, or another type of specialist.
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Primary Care Physicians means physicians practicing in family medicine, geriatrics, general internal medicine, general pediatrics, obstetrics/gynecology, or emergency medicine. [63:1-2721 (A)(2)]
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Related to Primary Care Physicians

  • Primary care physician means a physician qualified to be an attending physician according to ORS 656.005(12)(b)(A) and who is a general practitioner, family practitioner, or internal medicine practitioner.

  • Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

  • Primary caregiver or "caregiver" means a resident of the State

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • primary carer means the person who has responsibility for the care of the Child. Only one person can be the Child’s Primary Carer on a particular day.

  • Naturopathic physician means a person licensed to practice naturopathic medicine by the Oregon Board of Naturopathic Medicine.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Primary care-giver means a person who assumes the principal role of providing care and attention to a child.

  • Licensed physician means a person licensed to practice

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • Child Caregiver means an individual providing basic childcare service needs for Your minor children under the age of 18 while You are on the Trip without the minor children. The arrangement of being the Child Caregiver while You are on the Trip must be made 30 or more days prior to the Scheduled Departure Date.

  • Primary care provider means a participating provider who supervises, coordinates, or provides initial care or continuing care to a covered person, and who may be required by the health carrier to initiate a referral for specialty care and maintain supervision of health care services rendered to the covered person.

  • Family caregiver means a relative by blood, marriage, or Adoption who lives with or is the primary Caregiver of the terminally ill Member.

  • Primary care giver" means a person who assumes the principal role of providing care and attention to a child.

  • Hospitals means either an employee when engaged in repairs, demolition and / or maintenance in any block or portion of a hospital used for the care or treatment of patients suffering from infections or contagious diseases or when an employee is working inside a morgue in which one (1) or more dead bodies are not in refrigeration. Inclement weather will mean the existence of rain or abnormal climatic conditions (whether they be those of hail, snow, cold, high wind, severe dust storm, extreme high temperature or the like or any combination thereof) by virtue of which it is either not reasonable or not safe for employees to continue working whilst the same prevail. Industry allowance means an allowance to compensate for the following disabilities associated with construction work: Insulation includes handling charcoal, pumice, granulated cork, silicate of cotton, insulwool, slag wool, limpet fibre, vermiculite or other recognise insulating materials of a like nature, associated with similar disability in its use. This will also apply where an employee is working in the immediate vicinity who is affected by the use of such materials. Irrigation installer means an employee employed or usually employed in executing any irrigation plumbing. Without limiting the generality of the foregoing such work will include the following: Lagger means a person that insulates or clads ducts, pipes, valves or any other thing used in or in connection with the plumbing and air conditioning industry for the protection of thermal and or acoustics.

  • Participating physician means a physician licensed in Virginia to practice medicine, who practices

  • Primary care services means the services in respect of which NHS England has a duty or power to make arrangements pursuant to the Primary Care Functions;

  • Hospital pharmacist means an Iowa-licensed pharmacist who meets the requirements for participating in a hospital practice protocol as determined by the hospital’s P&T committee.

  • Family child care provider means a person who: (a) Provides

  • Authorized medical physicist means an individual who:

  • Supervising physician means any physician licensed under Iowa Code chapter 148, 150, or 150A. The supervising physician is responsible for medical direction of emergency medical care personnel when such personnel are providing emergency medical care.

  • Resident physician means a physician enrolled in an internship, residency or fellowship.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Hospital means a facility that:

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.