Provider Arrangement definition

Provider Arrangement means any of one or more of the following:
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Provider Arrangement means any of one or more of the following: an Accommodation Arrangement;
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Examples of Provider Arrangement in a sentence

  • Each Preferred Provider Health Plan or Workers’ Compensation Preferred Provider Arrangement, approved under M.G.L. c.

  • If an application is denied or a Preferred Provider Health Plan or Workers’ Compensation Preferred Provider Arrangement is disapproved, the Commissioner shall notify the Organization in writing, stating the reason(s) for the denial.

  • No Preferred Provider Health Plan or Workers’ Compensation Preferred Provider Arrangement may be offered without meeting the filing and other requirements set forth inM.G.L. c.

  • In addition to the requirements of 24-A M.R.S.A. §4203(3) or requirements otherwise provided by rule, a carrier’s application for approval of a managed care plan, application for an HMO certificate of authority, or application for a Preferred Provider Arrangement registration shall include an Access Plan.

  • This chapter may be cited as the "Preferred Provider Arrangement Act." [PL 1999, c.

  • Each Organization with a Preferred Provider Health Plan or Workers’ Compensation Preferred Provider Arrangement shall file with the Commissioner any material changes or additions to the material previously submitted on or before their effective date, including amendments to an Evidence of Coverage and significant changes to the lists of Preferred Providers.

  • With respect to authorized Retail Providers, such as traffic associated with the CLEC- Retail Provider Arrangement, CLEC will obtain and provide access to all books, records, documents and other information reasonably necessary to assess the accuracy of the data applicable to that traffic.

  • Preferred Provider Health Plan, an insured Health Benefit Plan offered by an Organization that provides incentives for Covered Persons to receive Health Care Services from Preferred Providers in the context of a Preferred Provider Arrangement.

  • Preferred Provider, a Health Care Provider, group of Health Care Providers or a network of providers who have contracted with an Organization to provide specified Covered Services in the context of a Preferred Provider Arrangement.

  • Workers’ Compensation Preferred Provider Arrangement, a Preferred Provider Arrangement between an insurer, self-insurer, or self-insurance group, as defined in M.G.L. c.

Related to Provider Arrangement

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

  • 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.

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Hospital purchaser/provider agreement (HPPA agreement) means a negotiated agreement entered between the fund and the hospital for the cost of hospital treatment.

  • Access Arrangement means an arrangement for access to a Covered Pipeline that has been approved by the Relevant Regulator.

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

  • Provider contract means any contract between a provider and a carrier (or a carrier's network,

  • Travel Arrangements means: (a) transportation: (b) accommodations: and (c) other specified services arranged by the Travel Supplier for the covered trip.

  • legal arrangement means a trust or other similar arrangement;

  • 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 Manual means a working document, including but not limited to BCBSM published bulletins and provider notices, that provide specific guidelines and direction by which providers may meet their contractual responsibility as described in this Agreement. Provider Manuals are published on web-DENIS.

  • Benefit Arrangement means at any time an employee benefit plan within the meaning of Section 3(3) of ERISA which is not a Plan or a Multiemployer Plan and which is maintained or otherwise contributed to by any member of the ERISA Group.

  • Multiple employer welfare arrangement means a multiple employer welfare arrangement

  • Life-of-the-unit, firm power contractual arrangement means a unit participation power sales agreement under which a utility or industrial customer reserves, or is entitled to receive, a specified amount or percentage of nameplate capacity and associated energy from any specified unit and pays its proportional amount of such unit's total costs, pursuant to a contract:

  • Medical flexible spending arrangement or "medical FSA" means a benefit plan whereby eligible state employees may reduce their salary before taxes to pay for medical expenses not reimbursed by insurance as provided in the salary reduction plan established under chapter

  • Provider of health care means a physician or physician assistant licensed pursuant to chapter 630, 630A or 633 of NRS, perfusionist, dentist, licensed nurse, dispensing optician, optometrist, practitioner of respiratory care, registered physical therapist, podiatric physician, licensed psychologist, licensed audiologist, licensed speech-language pathologist, licensed hearing aid specialist, licensed marriage and family therapist, licensed clinical professional counselor, chiropractor, licensed dietitian or doctor of Oriental medicine in any form.

  • referral arrangement means any arrangement in which a registrant agrees to pay or receive a referral fee;

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Foreign Government Scheme or Arrangement has the meaning specified in Section 5.12(d).

  • Foreign Benefit Arrangement means any employee benefit arrangement mandated by non-U.S. law that is maintained or contributed to by any Credit Party or any of its Subsidiaries.

  • Compensation Arrangement means any direct or indirect compensatory payment or other financial agreement, arrangement or understanding with any person or entity other than the Corporation, including any agreement, arrangement or understanding with respect to any direct or indirect compensation, reimbursement or indemnification in connection with candidacy, nomination, service or action as a nominee or as a director of the Corporation;

  • Provider agency means a funded organization under contract with the Children’s Board to deliver and provide social services and supports to children and families of Hillsborough County, FL.

  • Cardholder Agreement means the agreement between Bank and a Cardholder governing the terms and use of a Card.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • 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”).