Terminated Provider definition

Terminated Provider. ’ means a provider whose contract to
Terminated Provider means any Provider no longer a part of the Plan Provider network. This policy applies to Providers whose contract with the Plan was terminated for reasons other than a medical disciplinary cause, fraud or other criminal activity.
Terminated Provider. ’ means individual provider or

Examples of Terminated Provider in a sentence

  • Continuity of Care by a Terminated Provider Members who are being treated for acute conditions, serious chronic conditions, pregnancies (including immediate postpartum care), or terminal illness; or who are children from birth to 36 months of age; or who have received authorization from a now-terminated provider for surgery or another procedure as part of a documented course of treatment can request completion of care in certain situations with a provider who is leaving the Blue Shield provider network.

  • Continuity of Care by a Terminated Provider Persons who are being treated for acute dental conditions, serious chronic dental conditions, or who are children from birth to 36 months of age, or who have received authorization from a now- terminated provider for dental surgery or another dental procedure as part of a documented course of treatment can request completion of care in certain situations with a provider who is leaving a the DPA’s network of Participating Dentists.

  • Continuity of Care by a Terminated Provider Persons who are being treated for acute dental conditions, serious chronic dental conditions, or who have received authorization from a now-ter- minated provider for dental surgery or another dental procedure as part of a documented course of treatment can request completion of care in certain situations with a provider who is leaving a contracted Dental Plan Administrator's network of Participating Dentists.

  • Continuity of Care by a Terminated Provider Persons who are being treated for acute dental conditions, serious chronic dental conditions, or who are children from birth to 36 months of age, or who have received authorization from a now-terminated provider for dental surgery or another dental procedure as part of a documented course of treatment can request completion of care in certain situations with a provider who is leaving a contracted Dental Plan Administrator's network of Participating Dentists.

  • A Terminated Provider forfeits its eligibility for Provider incentives and its customers will not have access to Pilot services.


More Definitions of Terminated Provider

Terminated Provider means a dentist that formerly delivered services under contract that is no longer associated with the PLAN.
Terminated Provider. ’ means a provider whose contract to provide services to insureds is terminated or not renewed by the insurer or one of the insurer’s contracting provider groups. A terminated provider is not a provider who voluntarily leaves the insurer or contracting provider group.
Terminated Provider means a provider that had
Terminated Provider means a licensed Plan Provider who formerly delivered Covered Services under a contract with the COMPANY, but who is no longer associated with the COMPANY.
Terminated Provider means a provider whose contract to provide services to Plan enrollees is terminated or not renewed by the Plan or one of the Plan’s contracting provider groups. A terminated provider is not a provider who voluntarily leaves the Plan or contracting provider group.
Terminated Provider means any practitioner or provider no longer a part of Bright Health provider networks. This policy applies to providers whose contract with Bright Health was terminated for reasons other than a medical disciplinary cause, fraud, or other criminal activity.
Terminated Provider means a provider whose contract to provide services to Plan enrollees is terminated or not renewed by the plan or one of the plan’s contracting provider groups. A terminated provider is not a provider who voluntarily leaves the plan or contracted provider group.