Professional Provider definition

Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.
Professional Provider means a Physician, Dentist, Podiatrist, Psycholo­ gist, Chiropractor, Optometrist, Clinical Social Worker or any Provider designated by Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan.
Professional Provider means an individual provider or health care professional

Examples of Professional Provider in a sentence

  • The BMDT must be prescribed by a Professional Provider legally authorized to prescribe such items under law.

  • Inpatient medical services rendered by a physician or other Professional Provider to a Participant who is receiving Covered Services in a Licensed General Hospital or Skilled Nursing Facility.

  • Consultation services when rendered to an Inpatient in a Hospital, Rehabilitation Hospital or Skilled Nursing Facility by a Professional Provider at the request of the attending Professional Provider.

  • The Durable Medical Equipment must be prescribed by an attending Physician or other Professional Provider within the scope of license.

  • Services rendered to an Inpatient in a Hospital, Rehabilitation Hospital or Skilled Nursing Facility by a Professional Provider who is not in charge of the case but whose particular skills are required for the treatment of complicated conditions.


More Definitions of Professional Provider

Professional Provider means any person paid for providing supervised visitation services, or an independent contractor, employee, intern, or volunteer operating independently or through a supervised visitation center or agency.
Professional Provider means an individual provider or health care professional licensed, accredited, or certified to perform specified health
Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator.
Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist, Clinical Social Worker or any Provider designated by Us (or other participating Blue Cross and/or Blue Shield Plan).
Professional Provider means an individual clinician who provides health care services. Professional provider shall have the same meaning as non- institutional provider.
Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist, Clinical Social Worker or any Provider designated by Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide Covered Services to participants in the BlueChoice Preferred PPO ℠ benefit program at the time Covered Services are rendered.
Professional Provider means an individual or practitioner, who is licensed/certified to render covered services. Professional Providers include, but are not limited to: