Covering provider definition

Covering provider means a provider designated by the primary care provider to render health care services in the temporary absence of the primary provider.
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Covering provider means a Provider who provides health care items and services to another Provider’s patients when the other Provider is not available.
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Covering provider means a physician who will continue to render covered services to members during those times when provider cannot provide these services as set forth in this agreement, but is doing so under the same terms of this agreement.
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Examples of Covering provider in a sentence

  • Client is responsible for any deductibles or co-pays due to the Covering Provider.

  • Any medical services furnished to Client or Client’s family member described in Section 2 by any Covering Provider not directly employed by FFHC may be billed to Client’s health insurance plan by the Covering Provider.

  • Any medical services furnished to Client or Client’s family member described in Section 2 by any Covering Provider not directly employed by DPMWC may be billed to Client’s health insurance plan by the Covering Provider.

  • These times will be minimal, and Aloha Nui shall make every effort to obtain a Covering Provider and give reasonable notice to Member(s) so Membership Services can be given or rescheduled on another date.

  • BEHAVIORAL HEALTH PROVIDER shall ensure that a terminated or suspended BEHAVIORAL HEALTH PROVIDER staff is not utilized as a Covering Provider without express written authorization from the PREMIER Medical Director.

  • In the event that a Covering Provider is a non-Participating Provider, the Participating IPA Provider shall obtain prior approval of such Covering Provider from Health Plan in accordance with Program Requirements.

  • If Provider is, for any reason, from time to time unable to provide Covered Services when and as required, Provider shall be solely responsible for securing the services of a Covering Provider, who shall render the Covered Services in conformance with the terms of this Agreement.


More Definitions of Covering provider

Covering provider means a provider designated by the primary provider to render health
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Covering provider means a Participating Provider or, with the prior approval of a Payer, a healthcare practitioner who is not a Participating Provider, who provides Covered Services to Enrollees for or on behalf of Provider during an emergency or temporary unavailability.
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Related to Covering provider

  • Participating provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or a facility which has not been designated by the Claim Administrator as a Participating Provider.

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Nonparticipating provider means a person, health care provider, practitioner, facility, or entity, acting within their scope of practice, that does not have a written contract to participate in a managed health care system's provider network, but provides health care services to enrollees of programs authorized under this chapter or other applicable law whose health care services are provided by the managed health care system.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Non-Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who does not have 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.

  • Participating Home Infusion Therapy Provider means a Home Infusion Therapy Provider who 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.

  • Participating Orthotic Provider means an Orthotic Provider who 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.

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • Standard fertility preservation services means procedure based upon current evidence-based standards of care established by the American Society for Reproductive Medicine, the American Society for Clinical Oncology, or other national medical associations that follow current evidence-based standards of care.

  • Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who 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.

  • Non-Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who does not have 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.

  • Provider is any individual or company that provides professional or technical services.

  • Regulatory Services Provider means the organization which provides regulatory services to BSEF pursuant to a Regulatory Services Agreement.

  • Non-Participating Orthotic Provider means an Orthotic Provider who does not have 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.

  • Third Party Service Provider means any consultant, agent, advisor, or independent contractor who renders services to the Company, a Subsidiary, or an Affiliate that (a) are not in connection with the offer and sale of the Company’s securities in a capital raising transaction, and (b) do not directly or indirectly promote or maintain a market for the Company’s securities.

  • Construction, panel, and floor covering adhesive means any one-component adhesive that is designed exclusively for the installation, remodeling, maintenance, or repair of:

  • Participating manufacturer means that term as defined in the master settlement agreement.

  • Non-Administrator Skilled Nursing Facility means a Skilled Nursing Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with guidelines established by Medicare.

  • Interconnection Provider means PacifiCorp Transmission.

  • Participating Prosthetic Provider means a Prosthetic Provider who 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.

  • Providers means individuals or organizations --------- licensed to practice dentistry (including specialists) as well as other dental professionals who provide ancillary reimbursable dental services.

  • Third Party Service Providers means any third party wherever situated selected by us or any member of the BEA Group to provide services to it.

  • Non-Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield to provide services to participants in this benefits program, or; (ii) a Hospice Care Program Provider which has not been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Non-Participating Prosthetic Provider means a Prosthetic Provider who does not have 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.