HMO Member definition

HMO Member means a Member of a Plan issued by a health maintenance organization licensed in the State of North Carolina.
Sample 1Sample 2Sample 3

Examples of HMO Member in a sentence

  • The file shall be used for the purpose of matching the Texas Medicaid eligibility file against the HMO Member file to identify Medicaid clients enrolled in the HMO, which may not be known the Medicaid Program.

  • As an HMO Member, most claims do not require forms to be submitted.

  • You can use the appendix for a copy of your survey and the raw data.

  • Thereafter, the Lease Order as so extended may be terminated by either party at the end of any calendar month by giving the other party ninety days prior written notice.

  • The compensation paid per Member per month (“PMPM”) for each HMO Member who has selected or been assigned to PPG.

  • D.1 In the event of termination of the Agreement or insolvency of a Payor for an HMO Member, In-Plan Provider shall continue to provide inpatient care for any HMO Member until the HMO Member is ready for discharge and for the duration of the period for which premium payment has been made.

  • In-Plan Provider further agrees that (1) the provisions of this Section 4.2 shall survive the termination of this Agreement with respect to services provided pursuant to this Agreement regardless of the cause giving rise to termination and that (2) the provisions of this Section 4.2 shall supersede any oral or written contrary agreement heretofore entered into between In-Plan Provider and any HMO Member or persons acting on an HMO Member’s behalf.

  • Arkansas Blue Medicare HMO Member Sample Card Health Advantage Medicare Advantage HMO Member Sample Cards Arkansas Blue Medicare PPO Member Sample Card Arkansas Blue Medicare PFFS Member Sample Cards For Arkansas Blue Medicare and Health Advantage Medicare Advantage eligibility, benefits and claims information please visit our website at https://www.mydentalcoverage.com/shared/login.shtml to access online services on My Patient Benefits or contact customer service at 1-888-224-5213.

  • Each share of Class B Common Stock will be automatically converted into one share of Class A Common Stock upon transfer to a person who is not Mr. R.

  • PPG shall assist each HMO Member in selecting a PCP when necessary.

Related to HMO Member

  • Staff member means a staff member as defined in section 1(1) of the Public Service Act, 1995 (Act No. 13 of 1995);

  • Managed care entity means either a managed care organization licensed by the department of insurance (e.g., HMO or PHP) or a primary care case management program (i.e., MediPASS).

  • crew member means a person assigned by an operator to duty on an aircraft during a flight duty period;

  • Participating member means an eligible employee who elects to participate in the defined contribution retirement plan established under this chapter.

  • Team Member means an individual who is allowed to access the Cloud Service but is only granted membership in groups associated with “Team Member” permissions for the Cloud Service.2

  • Faculty Member means any person hired by the college or District to conduct classroom or teaching activities or who is otherwise considered by the college to be a member of faculty.

  • 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.

  • Life Member means an Individual appointed as a Life Member of the Club under clause 5.2.

  • flight crew member means a licensed crew member charged with duties essential to the operation of an aircraft during a flight duty period;

  • Service member means a member of the armed forces, a reserve branch of the armed forces, or the Michigan national guard.

  • Member means a member of the Board;