Provider Workgroup definition

Provider Workgroup means the workgroup consisting of representatives from each Turquoise Care MCO, HCA, the Behavioral Health Collaborative, and Providers to work collaboratively to reduce administrative burdens on Providers by, among other things, standardizing forms and processes. Quantitative Treatment Limitations (QTL) means numerical limits on benefits or services based on frequency of treatment, number of days, days of coverage, days in a waiting period, or similar limits on treatment scope or duration. Rate Cohort means and is the basis for the Capitation Rates and Capitation Payments specific to population(s) and/or Covered Services.
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Examples of Provider Workgroup in a sentence

  • The Provider Workgroup shall collaborate throughout the term of the Agreement to reduce the administrative burdens on Providers.

  • The CONTRACTOR shall consult with HCA prior to appointing Providers to the Provider Workgroup.

  • Specifically, the Provider Workgroup will develop, among other things, forms and templates related to: (i) credentialing; (ii) Provider audits; (iii) reporting; (iv) authorizations; (v) Grievances and Appeal System; and (vi) forms for level of care determinations.

  • The CONTRACTOR shall participate in the Provider Workgroup, consisting of representation from each Turquoise Care MCO, HCA, and Providers, for purposes of streamlining documents and processes for Providers.

Related to Provider Workgroup

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

  • 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 Personnel means all persons employed or engaged by the Provider together with the Provider’s servants, agents, consultants and Sub-Contractors (and all persons employed by any Sub-Contractor together with the Sub-Contractor’s servants, consultants, agents, Provider’s and Sub-Contractors) used in the performance of its obligations under this Agreement;

  • Education service provider means an education management organization, school

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

  • FIS means free into store delivery, which requires the Supplier to pay all costs and be responsible for all requirements associated with the supply and delivery of Goods to the Company at the delivery site described in the Order, including all costs associated with transport, insurances, licences, authorisations, duties and taxes.

  • Volunteer firefighter means a firefighter whose position normally requires less than 600

  • 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.

  • 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.

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

  • 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.

  • Senior procurement executive means, for DoD—

  • 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.

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

  • Basic generation service provider or "provider" means a

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

  • 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.

  • payment initiation service means a service to initiate a payment order at the request of the payment service user with respect to a payment account held at another payment service provider;

  • Service Animal means an animal that is required by a person with a disability for assistance and is certified, in writing, as having been trained by a professional service animal institution to assist a person with a disability and which is properly harnessed in accordance with standards established by a professional service animal institution.