Licensed health care provider definition

Licensed health care provider means any provider of health care services who is licensed or certified by any applicable governmental regulatory authority to the extent that services are within the scope of the license or certification and are not specifically excluded by this Plan.
Licensed health care provider means an MD (medical doctor), DO (doctor of osteopathy), ND (doctor of naturopathy), PA (physician's assistant), or an ARNP (advanced registered nurse practitioner).

Examples of Licensed health care provider in a sentence

  • Physician or Licensed Health Care Provider charges for diagnosis and Medically Necessary Psychiatric Care and treatment, including but not limited to group therapy.

  • If a Physician or Licensed Health Care Provider fails to refund a payment of benefits, the Plan may refuse to recognize future assignments of benefits to that provider.

  • Charges for Licensed Health Care Providers’ fees for any treatment which is not rendered by or in the physical presence of a Licensed Health Care Provider.

  • They are administered, ordered or provided by a Physician or other eligible Licensed Health Care Provider; and 2.

  • Charges for drugs requiring the written prescription of a Physician or a Licensed Health Care Provider and Medically Necessary for the treatment of an Illness or Injury.


More Definitions of Licensed health care provider

Licensed health care provider means a licensed medical doctor, physician’s assistant, nurse practitioner, or advanced‑practice registered nurse.
Licensed health care provider means a physician, physician
Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board designated under section 147.13.
Licensed health care provider means a physician or
Licensed health care provider means a physician, surgeon, podiatrist, osteopath, osteopathic
Licensed health care provider means a health care provider who is licensed under Title 58, Occupations and Professions, as:
Licensed health care provider or “health care provider” means a person li- censed or certified to provide health care under ORS chapter 677, 678, 679, 680, 684 or 685 or ORS 682.216, or under comparable statutes of any other state.