Cofinity/First Health Network definition

Cofinity/First Health Network means facility and professional providers who have signed an Agreement with Cofinity in Michigan and Colorado and First Health in remaining US States and is not an Affiliated Provider within the “In Total Health Care USA Network.” Refer to the Schedule of Out of Pocket Expenses to determine how services provided by Cofinity/First Health Network differ from Affiliated Providers.
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Cofinity/First Health Network means providers who have signed an Agreement with Cofinity/First Health and is not an Affiliated Provider within the “Total Health Care USA Network.”
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Examples of Cofinity/First Health Network in a sentence

  • DME is covered exclusively from the Plan’s DME provider, and is not covered within the Cofinity/First Health Network.

  • The inclusion of a member’s previous share of the two-party vote and the percent black in the district add a bit – as previous vote share is significant, with Republicans who won their prior election by a slimmer margin were more likely to switch.

  • Outpatient follow-up services necessary for the continued treatment of a Medical Emergency or Accidental Injury are Covered only within the Plan’s Service Area by Affiliated Providers or within the Cofinity/First Health Network, unless specifically authorized in writing by the Plan’s Medical Director or designee.

  • ISO 19115, Geographic Information Metadata is part of the ISO 19100 series.

  • If you are out of the Service Area at that time, your Treating Physician will decide if you can wait for those services and supplies until you could reasonably return to get them from an Affiliated Provider or Cofinity/First Health Network Provider.

  • If we decide that the care received was Medically/Clinically Necessary and given by an Affiliated Provider or Cofinity/First Health Network, the care will be covered.

  • If we decide that the care received was not Medically/Clinically Necessary or the care was given outside of the Total Health Care USA or Cofinity Networks when it could have been given by an Affiliated Provider or Cofinity/First Health Network, the services will not be Covered.

  • Motion to approve the Leave Request of Evan Prall, Secondary Teacher, as outlined in his letter on file in the Superintendent’s Office.

  • If we decide that the care received was Medically/ Clinically Necessary and given by a Provider outside the Total Health Care USA or Cofinity Network, the care may be Covered only if the Medically/Clinically Necessary care is unavailable from an Affiliated Provider or Cofinity/First Health Network.

  • Services and supplies received from an Affiliated Referral or Cofinity/First Health Network obstetrician/gynecologist for an annual well-woman examination or routine pregnancy services (no Prior Authorization, approval, or referral required).

Related to Cofinity/First Health Network

  • Rape Crisis Center means an office, institution, or center offering assistance to victims of sexual offenses through crisis intervention, medical and legal information, and follow-up counseling.

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Health screening means the use of one or more diagnostic tools to test a person for the presence or precursors of a particular disease.

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Rural health clinic means a rural health clinic as defined under section 1861 of part C of title XVIII of the social security act, chapter 531, 49 Stat. 620, 42 U.S.C. 1395x, and certified to participate in medicaid and medicare.

  • Health and Human Services Commission or “HHSC” means the administrative agency established under Chapter 531, Texas Government Code, or its designee.

  • Home health aide means an individual employed by a home health agency to provide home health services under the direction of a registered nurse or therapist.

  • Digital Health has the meaning ascribed to it in the Accountability Agreement and means the coordinated and integrated use of electronic systems, information and communication technologies to facilitate the collection, exchange and management of personal health information in order to improve the quality, access, productivity and sustainability of the healthcare system;

  • Virginia Stormwater Management Program or “VSMP” means a program approved by the State Board after September 13, 2011, that has been established by a locality to manage the quality and quantity of runoff resulting from land-disturbing activities and shall include such items as local ordinances, rules, permit requirements, annual standards and specifications, policies and guidelines, technical materials, and requirements for plan review, inspection, enforcement, where authorized in this article, and evaluation consistent with the requirements of this article and associated regulations.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Municipal Separate Storm Sewer System Management Program means a management program covering the duration of a state permit for a municipal separate storm sewer system that includes a comprehensive planning process that involves public participation and intergovernmental coordination, to reduce the discharge of pollutants to the maximum extent practicable, to protect water quality, and to satisfy the appropriate water quality requirements of the CWA and regulations, and this article and its attendant regulations, using management practices, control techniques, and system, design, and engineering methods, and such other provisions that are appropriate.

  • Group health plan means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise.

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Health system means: (A) A parent corporation of one or more hospitals and any entity affiliated with such parent corporation through ownership, governance, membership or other means, or (B) a hospital and any entity affiliated with such hospital through ownership, governance, membership or other means;

  • Home health services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the client's home.

  • Mental health services provider means an individual, licensed or unlicensed, who performs or purports to perform mental health services, including a:

  • UConn Health or “UCH” shall mean University of Connecticut Health and its affiliates.

  • Transportation network company driver or “driver” means an

  • Genetic resources means genetic material of actual or potential value;

  • Environmental and Social Management Plan or “ESMP” means a site-specific environmental and social management plan to be prepared in accordance with the parameters laid down in the ESMF and acceptable to the Association, setting forth a set of mitigation, monitoring, and institutional measures to be taken during the implementation and operation of the Project activities to eliminate adverse environmental and social impacts, offset them, or reduce them to acceptable levels, and including the actions needed to implement these measures.

  • Radiation therapy simulation system means a radiographic or fluoroscopic x-ray system intended for localizing the volume to be exposed during radiation therapy and confirming the position and size of the therapeutic irradiation field.

  • Virginia Stormwater Management Program authority or "VSMP authority" means an authority approved by the State Board after September 13, 2011, to operate a Virginia Stormwater Management Program.

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • Nuclear fuel cycle-related research and development activities means those activities which are specifically related to any process or system development aspect of any of the following: - conversion of nuclear material, - enrichment of nuclear material, - nuclear fuel fabrication, - reactors, - critical facilities, - reprocessing of nuclear fuel, - processing (not including repackaging or conditioning not involving the separation of elements, for storage or disposal) of intermediate or high-level waste containing plutonium, high enriched uranium or uranium-233, but do not include activities related to theoretical or basic scientific research or to research and development on industrial radioisotope applications, medical, hydrological and agricultural applications, health and environmental effects and improved maintenance.

  • Virginia Stormwater Management Act means Article 2.3 (§ 62.1-44.15:24 et seq.) of Chapter 3.1 of Title 62.1 of the Code of Virginia.

  • Non-Administrator Substance Use Disorder Treatment Facility means a Substance Use Disorder Treatment Facility that does not meet the definition of an Administrator Substance Use Disorder Treatment Facility.