Provider Selection definition

Provider Selection means the evaluation, selection, credentialing, contracting with or performing peer review of any provider of Medical Services.
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Provider Selection means evaluation, selection, deselection, credentialing, privileging, conducting disciplinary proceedings, performing peer review of or contracting with an individual provider of Medical Services.
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Provider Selection means the mechanism that allows customers to choose between network providers to carry their long distance calls.
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Examples of Provider Selection in a sentence

  • The Treasurer is hereby authorized to execute the OASBO Plan Provider Selection Agreement and any other documents that may be necessary for inclusion of AXA as an additional Provider under the Plan.

  • The Training Provider must provide to the Department in its Notice under Clause 7.4 details of: the Change in Control and when it is to take effect; and any changes to the information submitted through the Skills First Provider Selection Process that will result from the proposed Change in Control.

  • The Training Provider must provide to the Department in its notification under Clause 7.4 details of: the Change in Control and when it is to take effect; and any changes to the information submitted through the Skills First Provider Selection Process that will result from the proposed Change in Control.

  • Therefore, if you have chosen the CPO product, please use the HMO / CPO Provider Selection Enrollment and Change Form to indicate the number of the CPO network you have selected.

  • To accommodate this, a separate HMO / CPO Provider Selection Enrollment and Change Form is also required for HMO enrollees.

  • See OWD Issuance 11-2018 Local Eligible Training Provider Selection Policy.

  • To assure this, states must actively monitor the major components of their waiver program described in Part I of the waiver preprint: (1) program Impact (Choice, Marketing, Enrollment/Disenrollment, Program Integrity, Information to Beneficiaries, Grievance Systems);(2) access (Timely Access, PCP/Specialist Capacity, Coordination and Continuity of Care); and(3) quality (Coverage and Authorization, Provider Selection, Quality of Care).

  • For example, the grievance narrative often captures input where clients request a new provider due to dissatisfaction with their current provider selection and client satisfaction with the new Provider Selection is noted in the narrative.

  • All other service provides are selected pursuant to the Commission’s Service Provider Selection Policy which is included in the Commission’s Governance Policies (RSIC Governance Policies can be found at: https://www.rsic.sc.gov/_documents/2017.07.14%20Governance%20Policy%20Manual.pdf).

  • The Training Provider must promptly notify the Department if, at any time after the making of the Training Provider’s initial response to the Skills First Provider Selection Process, the Training Provider becomes subject to an Insolvency Event or if any event occurs to which Clause 18.3(g), 18.3(h) or 18.3(j) applies.


More Definitions of Provider Selection

Provider Selection. The HMO must determine and verify at specified intervals that: a. Each provider, other than an individual practitioner is licensed to operate in the state, if licensure is required, and in compliance with any other applicable state or federal requirements; and b. The HMO verifies if the provider claims accreditation, or is determined by the HMO to meet standards established by the HMO itself.
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Related to Provider Selection

  • Provider panel means those providers with which a carrier contracts to provide health care services

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

  • Non-Administrator Dialysis Facility means a Dialysis Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with the guidelines established by Medicare.

  • Internet Service Provider (ISP) means an Enhanced Service Provider (ESP) that provides Internet Services.

  • Self-service display means the open display or storage of Tobacco Products or Tobacco Paraphernalia in a manner that is physically accessible in any way to the general public without the assistance of the retailer or employee of the retailer and a direct person-to-person transfer between the purchaser and the retailer or employee of the retailer. A vending machine is a form of Self-Service Display.

  • Provider fee means the consideration paid for a service contract.

  • air service means a flight or a series of flights carrying passengers, cargo and/or mail for remuneration and/or hire;

  • Support Service means an activity, such as information technology, accounting, human resources, legal, and other support functions that are required to support the ongoing delivery of core services.

  • Provider Group means a medical group, independent

  • Applied Provider Advance has the meaning assigned to such term in Section 2.06(a).

  • Distribution Service means the delivery of electricity to Customers by the Distribution Company.

  • 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.

  • Enhanced Service Provider (ESP) means the provider of enhanced services, as those services are defined in 47 CFR Section 64.702.

  • Non-Administrator Substance Use Disorder Treatment Facility means a Substance Use Disorder Treatment Facility that does not meet the definition of an Administrator Substance Use Disorder Treatment Facility.

  • Local Service Provider (LSP means the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.

  • 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.

  • Extended school year services means special education and related services that are provided to a child with a disability and meet the standards of the State of Wisconsin. These services are provided beyond the normal school year of the local educational agency, in accordance with the individualized education program (IEP), and at no cost to the parents of the child.

  • Payment Initiation Service Provider or “PISP” means an authorised third party provider which provides a service that allows that third party to pass payment instructions to us on your behalf in relation to your Account.

  • Provider Advance means a Downgrade Advance or a Non-Extension Advance.

  • regular service means service rendered by an employee in the Cadre on a regular basis other than the service on contract or daily wages or ad-hoc but includes ad-hoc promotion or appointment in a cadre post through due procedure followed by regularization to the extant approved by the competent authority.

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

  • Police Service ’ means the South African Police Service established in terms of section 5(1) of the South African Police Service Act;

  • Service Drop means a cable that, by its design, capacity and relationship to other cables of the Company, can be reasonably considered to be for the sole purpose of connecting backbone of the Equipment to not more than one individual customer or building point of presence or property;

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

  • Provider is any individual or company that provides professional or technical services.

  • Switched Access Service means the offering of transmission and switching services to Interexchange Carriers for the purpose of the origination or termination of telephone toll service. Switched Access Services include: Feature Group A, Feature Group B, Feature Group D, 8XX access, and 900 access and their successors or similar Switched Access Services.