Group Provider definition

Group Provider means an organization that provides specialty mental health services through two or more individual providers. Group providers include entities such as independent practice associations, hospital outpatient departments, health care service plans, and clinics.

Group Provider means a provider as defined in Title 9, CCR, Section 1810.218.2.

Group Provider means an organization that provides rehabilitative mental health services through two or more individual providers, such as independent practice associations. Group providers do not include hospital-based outpatient providers, county owned and operated providers, private organizational providers, or administrative service organizations.

Examples of Group Provider in a sentence

• A Group Provider should have the same Federal Tax ID Number for all providers it supports.

• Member may select their Willamette Dental Group Provider and may change Willamette Dental Group Providers at any time.

• Members are encouraged to establish a long-term relationship with a primary Willamette Dental Group Provider.

• Quality Management Does Optum audit Clinicians and Facilities?Optum representatives conduct site visits at Clinician offices, Agencies such as Community Mental Health Centers (CMHCs), Facilities, and Group Provider locations.

• In the Meaningful Use MU-Overview screen the Group Provider will use the eCQM Type of Group QDRA III file to choose to use the Group Administrator’s eCQM data or choose to use other options detailed in section 6.2.3.1. As with the Group Administrator, the Core / Objectives and Menu / PH data must be filled out manually or by a PDF template.

• Emancipation becomes an ongoing project for all countries, and it is assumed that global competitiveness is the way to achieve this.

• Specific fare considerations listed in the published policy are: • To ensure that the operator’s public fare pricing policy does not discriminate on the basis of origin of customer booking.

• In the case of a group, Provider will also provide prompt written notice to IPA if any Group Provider discontinues participation in Provider’s practice and/or if an additional billing professional joins Group Provider’s practice.

• In all cases where the Group and/or a Group Provider has made a determination regarding the Medical Necessity of a medical service requested or provided to a Member, Group shall, upon the request of Blue Shield, assist Blue Shield in determining the Medical Necessity of such service and provide relevant medical records to Blue Shield and participate in any grievance, arbitration, and/or other proceedings in which such Medical Necessity determination is an issue.

• In the event that Government Officials or Blue Shield find any deficiencies in such facilities or records, Group, or Group Provider, as applicable, shall have thirty (30) days to substantially correct such deficiencies which are identified by such Government Officials or Blue Shield.

More Definitions of Group Provider

Group Provider means a Provider, as defined herein, with two or more physicians or other professionals practicing together as a proprietorship, partnership, PC, PLLC, PLLP, PA or any combination of the foregoing. References herein to “Provider” shall mean the Group Provider and each physician or other professional now or hereafter practicing and billing as part of the group, and all practice sites now existing or hereafter added by Group Provider as permitted hereunder.

Group Provider is a physician (“Group Physician”), ancillary provider, or other provider with whom Group has entered into a contract for the provision of Capitated Professional Services.

Group Provider means a duly licensed specialist or general dentist who practices with Provider as an employee, partner, shareholder, or contractor.

Group Provider means a Participating Physician who has been selected by and/or assigned Enrollees to provide Primary Care Covered Services, Billaboves, and coordinating all referral Covered Services.

Group Provider means a provider as Title 9, CCR, Section 1810.218.2.