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
The Member will be transferred when a Network Provider, in consultation with the attending physician, determines that the Member is medically stable to do so.
The Member may access a second opinion from a Network Provider regarding a medical diagnosis or treatment plan.
Benefits will be paid at the highest Network level when care is received from a Network Provider.
Covered Services must be received from a Network Provider at a Network Facility, unless the Member has received Preauthorization or has received Emergency services.
The Enrollee may access a second opinion from a Network Provider regarding a medical diagnosis or treatment plan.
More Definitions of Network Provider
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 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 a health care provider who has
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 either a network practitioner or a network facility.
Network Provider means Hospital enlisted by an insurer, TPA or jointly by an insurer and TPA to provide medical services to an insured by a Cashless 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.