TRUST PRACTITIONER definition

TRUST PRACTITIONER means a physician (doctor of medicine, osteopathy, podiatry, chiropractic) or a professional provider (fully licensed psychologist, oral surgeon, clinical licensed master’s social worker, physical therapist, occupational therapist, speech therapist) or other professional provider offered affiliation by BCBSM sometimes also referred to as "Provider" who (i) is fully licensed or legally authorized to practice in the state of Michigan, (ii) meets all of the qualifications and credentialing requirements as determined from time to time by BCBSM and (iii) has signed a BCBSM TRUST Network PRACTITIONER Affiliation Agreement.
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TRUST PRACTITIONER means a physician (doctor of medicine, osteopathy, podiatry, chiropractic) or a professional provider (fully licensed psychologist, oral surgeon, clinical licensed master’s social worker, licensed professional counselor, physical therapist, occupational therapist, speech therapist) or other professional provider offered affiliation by BCBSM sometimes also referred to as "Provider" who (i) is fully licensed or legally authorized to practice in the state of Michigan, (ii) meets all of the qualifications and credentialing requirements as determined from time to time by BCBSM and (iii) has signed a BCBSM TRUST Network PRACTITIONER Affiliation Agreement.
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TRUST PRACTITIONER means a person registered as a trust practitioner in terms of section 27; and
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Examples of TRUST PRACTITIONER in a sentence

  • If TRUST PRACTITIONER admits Members to hospitals, TRUST PRACTITIONER shall remain a member in good standing of a TRUST Hospital.

  • TRUST PRACTITIONER may be identified by BCBSM as a preferred provider in the TRUST Network.

  • TRUST PRACTITIONER shall submit evidence of licenses, board certifications and medical staff memberships, if applicable, to BCBSM upon request and comply with all BCBSM credentialing and recredentialing requirements.

  • BCBSM or its designee shall have access to review, photocopy and audit Member's medical records and other pertinent appointment, billing and financial records of TRUST PRACTITIONER to verify medical necessity, appropriateness of payment and for fraud/abuse investigations.

  • Circular No. 28 has provided measures that will further facilitate foreign investment in both the current account-related and capital account-related domains.

  • All new providers added to group will be affiliated with BCBSM as a TRUST PRACTITIONER, if eligible for participation in that network, or as a TRADITIONAL PRACTITIONER in instances where the PROVIDER is not eligible to participate in the TRUST network.

  • IF TO TRUST PRACTITIONER: Blue Cross and Blue Shield of Michigan An address current on the BCBSM TRUST PROGRAM Provider File for TRUST PRACTITIONER Professional Credentialing, MC B444 000 X.

  • TRUST PRACTITIONER will be informed by the physician organization with which the TRUST PRACTITIONER is affiliated when he/she is eligible for VBR Fee Schedule reimbursement rates.

  • Participation in certain Quality Programs may entitle TRUST PRACTITIONER to reimbursement according to the VBR Fee Schedule, which shall be updated at least annually and made available to TRUST PRACTITIONER through publication in the appropriate provider publication.

  • ADDENDUM A TRUST NETWORK REIMBURSEMENT POLICIES For Covered Services performed, BCBSM will pay the lesser of the billed charges or the Approved Amount as set forth in the applicable fee schedule—BCBSM TRUST Fee Schedule (TRUST Fee Schedule) or Value-Based Reimbursement Fee Schedule (VBR Fee Schedule)—less any Deductible or Copayment amount for which Member is responsible, and/or less any TRUST PRACTITIONER sanction for which Member is responsible.


More Definitions of TRUST PRACTITIONER

TRUST PRACTITIONER means a person registered as a trust practitioner in terms of section 27 of the Act.
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Related to TRUST PRACTITIONER

  • Registered Health Practitioner means a health practitioner registered, or licensed, as a health practitioner (or as a health practitioner of a particular type) under a law of a State or Territory that provides for the registration or licensing of health practitioners (or health practitioners of that type); and

  • Practitioner means a physician, dentist, licensed nurse practitioner pursuant to § 54.1-2957.01,

  • Licensed practitioner means an individual who has been trained in the use of personal restraint and seclusion, who is knowledgeable of the risks inherent in the implementation of personal restraint and seclusion, and who is 1 of the following:

  • legal practitioner means an advocate, vakil or an attorney of any High Court, and includes a pleader in practice.

  • medical practitioner means a person who holds a valid registration from the Medical Council of any State or Medical Council of India or Council for Indian Medicine or for Homeopathy set up by the Government of India or a State Government and is thereby entitled to practice medicine within its jurisdiction; and is acting within its scope and jurisdiction of license. The registered practitioner should not be the insured or close Family members.

  • Health care practitioner means an individual licensed

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Licensed Independent Practitioner means any individual permitted by law and by the Medical Staff and Board to provide care and services without direction or supervision, within the scope of the individual’s license and consistent with individually granted clinical privileges.

  • registered medical practitioner means a medical practitioner registered under the Medical Act 1971 [Act 50];

  • Certified nurse practitioner means an ARNP educated in the disciplines of nursing who has advanced knowledge of nursing, physical and psychosocial assessment, appropriate interventions, and management of health care, and who possesses evidence of current certification by a national professional nursing association approved by the board.

  • Practitioner of the healing arts or "practitioner" means a