Tiered network definition

Tiered network means a network that identifies and groups some or all types of providers and facilities into specific groups to which different provider reimbursement, covered person cost-sharing, or provider access requirements, or any combination thereof, apply for the same services.

Tiered network means a network that identifies and

Tiered network means a network that identifies and groups some or all types of

Examples of Tiered network in a sentence

• The State is considering offering alternate options that may include: a Tiered benefit plan design; a Tiered network plan; a high deductible plan or other innovative plan options.

• Utilization for care from Tier 2 providers in Tiered network products should be reported on worksheets 5-6 of the reporting template.

• The officers used both visual surveillance and intermittent signals emitted by the beeper to track the container’s 100-mile journey from Petschen’s house to a rural cabin owned by Knotts, where they found the drug lab.

• Tiered network products typically allow consumers broad choice in where they receive care, and differentiate (or “tier”) the consumer’s copayment depending on the cost and quality of the provider chosen by the consumer.

• Utilization for care covered under Limited/Regional network products and care from Tier 1 providers in Tiered network products should be reported on worksheets 3-4 of the reporting template.

More Definitions of Tiered network

Tiered network means a network of Healthcare Providers for which (i) an Insurer divides the in-network Providers into different sub-groups based on objective price,

Tiered network means a network that identifies and groups some or all types of health care providers and facilities into specific groups to which different participating provider reimbursement, covered person cost-sharing or participating provider access requirements, or any combination thereof, apply for the same health care services.

Tiered network means a provider network in which: (i) providers are assigned to, or placed in, different benefit tiers, as determined by Tiering; and (ii) patients receive benefits and pay the copayment, coinsurance, or deductible amounts that are associated with the benefit tier to which the provider from whom services were received is assigned.

Tiered network means a network of Healthcare Providers for which

Tiered network means a network that supports a health benefits plan in which there

Tiered network or “tiering” means a network of participating providers which has been divided into sub-groupings differentiated by the health insurer according to cost-sharing levels, provider payment, performance ratings, quality scores, or any combination of these or other factors established as a means of influencing the insured person’s choice of provider.

Tiered network means a network that identifies and assigns some or all types of providers and facilities into specific groups to which different provider reimbursement, covered person cost-sharing, or provider access requirements, or any combination of reimbursement, cost-sharing, and access requirements, apply for the same service.