Common use of Participating Provider Clause in Contracts

Participating Provider. An individual Health Care Professional, hospital, clinic, facility, entity, dentist, dental assistant, dental hygienist or any other person or organization that provides Health Care or Dental Services and that, at the time care is rendered to a Enrollee, has (or is a member of a Medical Group that has) a contract in effect with Contractor to provide Covered Services to Enrollees and accept copayments for Covered Services.

Appears in 4 contracts

Samples: Qualified Dental Plan Contract, Stand Alone Dental Plan Contract, Stand Alone Dental Plan Contract

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Participating Provider. An individual Health Care Professional, hospital, clinic, facility, entity, dentist, dental assistant, dental hygienist or any other person or organization that provides Health Care or Dental Covered Services and that, at the time care is rendered to a Enrollee, has (or is a member of a Medical Group that has) a contract in effect with Contractor to provide Covered Services to Enrollees and accept copayments for Covered Services.

Appears in 3 contracts

Samples: Qualified Health Plan Contract, Qualified Health Plan Contract, Qualified Health Plan Contract

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Participating Provider. An individual Health Care Professional, hospital, clinic, facility, entity, dentist, dental assistant, dental hygienist or any other person or organization that provides Health Care or Dental Services and that, at the time care is rendered to a Enrollee, has (or is a member of a Medical Group that has) a contract in effect with Contractor to provide Covered Services to Enrollees and accept copayments for Covered Services.

Appears in 2 contracts

Samples: Covered California Qualified Health Plan Contract, Qualified Health Plan Contract

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