Network Provider definition

Network Provider means a provider of health care, or a group of providers of health care, which has entered into a written agreement with the issuer to provide benefits insured under a Medicare Select policy.

Network Provider means hospitals or health care providers enlisted by an insurer or by a TPA and insurer together to provide medical services to an insured on payment by a cashless facility.

Network Provider means hospitals or health care providers enlisted by an insurer, TPA or jointly by an Insurer and TPA to provide medical services to an insured by a cashless facility

Examples of Network Provider in a sentence

• Each Calendar Year, each Member must have Covered Services and Supplies from a [Tier 1] Network Provider that exceed the Cash Deductible before We pay benefits for those types of Covered Services and Supplies to that Member.

• Only Covered Services and Supplies incurred by the Member for treatment, services or supplies from a [Tier 1] Network Provider, while covered by this Contract, can be used to meet this Cash Deductible.

• When a Network Provider renders care to a Member who is eligible for Medicare benefits, and Medicare is deemed to be the primary xxxx xxxxx under Medicare secondary payer guidelines and regulations, KFHPWA will seek Medicare reimbursement for all Medicare covered services.

• Injections administered by a Network Provider in a clinical setting during dialysis.

• Immunizations recommended by the Centers for Disease Flu vaccines are also covered when provided by a non- Network Provider.

More Definitions of Network Provider

Network Provider means a health care provider who has an agreement with a managed care organization to provide health care services to an enrollee with an expectation of receiving payment, other than coinsurance, copayments, or deductibles, directly from the managed care organization.

Network Provider means hospitals en listed by insurer, TPA or jointly by an insurer and TPA to provide medical services to an insured by a cashless facility.

Network Provider means a provider who has a contract with the MA Dual SNP, or its subcontractor, for the delivery of healthcare services to the MA Dual SNP’s members.

Network Provider means a health care provider who has

Network Provider means either a network practitioner or a network facility.

Network Provider means the hospital/nursing home or health care providers enlisted by an insurer or by a TPA and insurer together to provide medical services to an insured on payment by a cashless facility. The list of Network Hospitals is maintained by and available with the TPA and the same is subject to amendment from time to time. PPN-Preferred Provider Network means a network of hospitals which have agreed to a cashless packaged pricing for certain procedures for the insured person. Updated list of network provider/PPN is available on website of the company (https://uiic.co.in/en/tpa-ppn-network- hospitals) and website of the TPA mentioned in the schedule and is subject to amendment from time to time.

Network Provider means an entity authorised by the Authority to provide telecommunication services including, but not limited to, fixed line operators, mobile operators, wireless operators or any other operator that provides access and network services (including value added services);