Specialist Physician definition

Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

Specialist Physician or “Specialist” means a Physician who assumes responsibility for the delivery of specialty medical services to Insureds. These specialty medical services include any Physician services not related to the ongoing primary care of the Insured.

Specialist Physician or “Specialist” means a Plan Provider who has an independent contractor agreement with the CO-OP to assume responsibility for the delivery of specialty medical services to Members. These specialty medical services include any Physician services not related to the ongoing primary care of a patient. A Plan Specialist Physician’s agreement with the CO-OP may terminate. In the event that a Member’s Plan Specialist Physician’s agreement terminates, another Plan Specialist Physician will be selected for the Member if those services are still required.

Examples of Specialist Physician in a sentence

• Non-capitated ambulance is included in the Outpatient Hospital category when billed by the facility and included in Specialist Physician otherwise.

• Some Prescription Drugs are more cost effective for specific indications as compared to others; therefore, a Prescription Drug may be listed on multiple tiers according to the indication for which the Prescription Drug was prescribed, or according to whether it was prescribed by a Specialist Physician.

• This Plan allows You to receive care from a Primary Care Physician (PCP) or from a Specialist Physician.

• If a Copayment for Physician’s office visits is shown in the Schedule of Benefits, this direct access plan allows You to receive care from a Primary Care Physician (PCP) or from a Specialist Physician.

• Such treatment plan may limit the number of visits to the Specialist Physician, limit the period of time in which visits to the Specialist Physician are authorized, and require the Specialist Physician to communicate regularly with the Primary Care Physician regarding the Covered Person's treatment and health status.

More Definitions of Specialist Physician

Specialist Physician or “Specialist” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for the delivery of specialty medical services to Members. These specialty medical services include any Physician services not related to the ongoing primary care of a patient. A Specialist Physician’s agreement with HPN may terminate. In the event that a Member’s Specialist Physician’s agreement terminates, another Specialist Physician will be selected for the Member if those services are still required.

Specialist Physician means a physician who is a certificant or fellow of the Royal College of Physicians and Surgeons of Canada.

Specialist Physician means a Participating Physician who is professionally qualified to practice his/her designated specialty and whose agreement with IPA or a Payor, as appropriate, includes responsibility for providing Covered Services in his/her designated specialty.

Specialist Physician or “Specialist” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for the delivery of specialty medical services to Members. These specialty medical services include any Physician services not related to the ongoing primary care of a patient. A Specialist Physician’s agreement with HPN may terminate. In the event that a Member’s Specialist Physician’s agreement terminates, another Specialist Physician will be selected for the Member if those services are still required.  “Specialty Drugs” are high-cost oral, injectable, infused or inhaled Covered Drugs as identified by HPN’s P&T Committee that are either self-administered or administered by a healthcare Provider and used or obtained in either an outpatient or home setting.

Specialist Physician means a Physician who provides Medical Care in any generally accepted medical specialty or subspecialty.

Specialist Physician means a physician who is not a primary care physician.

Specialist Physician means any Physician who is not a Member’s PCP, and who provides medical services to Members within the range of a particular medical specialty.