Medical Provider Network Plan definition

Medical Provider Network Plan means an employer's, or insurer's, or entity that provides physician network services’ detailed description for a mMedical pProvider nNetwork contained in an complete application submitted according to the the requirements of this article submitted to the Administrative Director by an MPN aApplicant.
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Medical Provider Network Plan means the detailed proposal for a medical provider network contained in an application submitted to the Administrative Director by an applicant.
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Examples of Medical Provider Network Plan in a sentence

  • An employer or insurer that offers a Medical Provider Network Plan under this article shall notify every covered employee in writing about the use of the Medical Provider Network prior to the implementation of an approved MPN.

  • The hard copy of the original signed Notice of Medical Provider Network Plan Modification form and any necessary documentation shall be maintained by the MPN applicant and made available for review by the Administrative Director upon request.

  • Section 9767.3(d)(8)(C) or Section 9767.3(d)(16) regarding the contractual agreements contained in the Application for a Medical Provider Network Plan provisions.

  • Probation, Suspension or Revocation of Medical Provider Network Plan; Hearing.

  • Section 9767.3. Requirements for a Medical Provider Network Plan.

  • Upon approval of a new Medical Provider Network Plan, the MPN shall be assigned a unique MPN Identification number.

  • The TPA must comply with all Medical Provider Network Plan requirements as enacted by the Workers Compensation Administration (WCA), if applicable.

  • Section 9767.8 Modification of Medical Provider Network Plan (a) The MPN applicant shall serve the Administrative Director with two copies of the completed, an signed original Notice of MPN Plan Modification with original signature, and any necessary documentation, and a copy of the Notice and any necessary documentation in compact discs or flash drives in word-searchable PDF format.

  • Upon approval of the Medical Provider Network Plan, the MPNapplicant shall be assigned a MPN approval number.

  • Upon approval of the Medical Provider Network Plan, the Medical Provider Network will be assigned a MPN approval number.Authority: Sections 133 and 4616(g), Labor Code.


More Definitions of Medical Provider Network Plan

Medical Provider Network Plan means an employer's, or insurer's, or entity that provides physician network services’ detailed description for a mMedical pProvider nNetwork
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Related to Medical Provider Network Plan

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Network plan means a policy of group health insurance offered by an insurer under which the financing and delivery of medical care, including items and services paid for as medical care, are provided, in whole or in part, through a defined set of providers under contract with the insurer. The term does not include an arrangement for the financing of premiums.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • 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.

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • Basic health plan services means that schedule of covered

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Qualified medical provider means the same as that term is defined in Section 26-61a-102.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Dependent care assistance program means a benefit plan

  • Diagnostic clinical procedures manual means a collection of written procedures that describes each method (and other instructions and precautions) by which the licensee performs diagnostic clinical procedures; where each diagnostic clinical procedure has been approved by the authorized user and includes the radiopharmaceutical, dosage, and route of administration.

  • Hosting Services means the provision, administration, and maintenance of servers and related equipment, the provision of bandwidth at the hosting facility, and the operation of the Application for access by Customer Users to be provided by the relevant hosting service provider.

  • Internet Service Provider (ISP) means an Enhanced Service Provider (ESP) that provides Internet Services.

  • Child support services means any civil, criminal or administrative action taken by the Division of

  • Medically Necessary Services means those covered services that are, under the terms and conditions of the contract, determined through contractor utilization management to be:

  • Service Animal means an animal that is required by a person with a disability for assistance and is certified, in writing, as having been trained by a professional service animal institution to assist a person with a disability and which is properly harnessed in accordance with standards established by a professional service animal institution.

  • Education service provider means an education management organization, school

  • Participating Hospice Care Program Provider means a Hospice Care Program Provider that either: (i) has 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 been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider Option program.

  • Inpatient hospital services means any health care service provided to a patient who has been admitted to a hospital and is required to remain in that hospital overnight, but does not include any secure forensic mental health services;

  • Support Services the support services, as described in the Support Services Description, that We provide to You in respect of the Cloud Service.

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Educational program means a program for educating and preparing physician assistants which is approved by the board.

  • Directory Assistance Database shall have the meaning set forth in Sections 10.5.2.2, 10.5.2.8, and 10.5.2.9.