Primary care provider definition

Primary care provider. (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.
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.
Primary care provider means any of the following who provide primary care and meet certification standards:

Examples of Primary care provider in a sentence

  • Provider further agrees to timely provide the Members’ Primary Care Provider with a written report of treatment and findings at no charge to the Member, Horizon, or the Primary Care Provider.

  • Provider shall fully cooperate with Horizon in the transfer of medical records for Members who have transferred to another Primary Care Provider.

  • It also gives details on how to choose or change your Primary Care Provider (PCP), what limits are placed on certain benefits, and what services are not Covered at all.

  • The Primary Care Provider also is responsible for initiating any required referrals for specialty care needed by a Member and maintaining overall continuity of a Member’s care.

  • In addition, Provider may, in accordance with Horizon’s policies and procedures, request a Member be transferred to another Primary Care Provider.


More Definitions of Primary care provider

Primary care provider means a nurse practitioner, physician, or physician assistant.
Primary care provider means any health care practitioner involved in the diagnosis and treatment of a patient’s debilitating medical condition.
Primary care provider means the health care provider primarily responsible for the on-going diagnosis and treatment of the resident where they currently reside.
Primary care provider means a natural or legal person who holds a Primary Care Contract, or is a Pharmaceutical Services Provider; Primary Care Provider Personnel means all persons (whether clinical or non-clinical) employed or engaged by a Primary Care Provider or by any Sub-Contractor (including volunteers, agency, locums, casual or seconded personnel) in the provision of Services or any activity related to or connected with the provision of the Services;
Primary care provider means a physician, physician's assistant or nurse practitioner that provides regular and continuous health care services.
Primary care provider or “PCP” means an individual who meets the requirements of A.R.S. § 36-2901(12) or (13), and who is responsible for the management of a member’s health care.
Primary care provider or “PCP” means an individual Participating Provider who supervises, coordinates and provides initial and basic care to Members and maintains continuity of care for Members.