Network Providers definition

Network Providers means those pharmacists and pharmacies who provide covered health care services or supplies to an insured or a member pursuant to a contract with a network plan to act as a participating provider.

Network Providers or “Contracted Provider” or “Provider” shall mean the pool of contracted behavioral health professionals, substance abuse professionals, or Employee Assistance Professionals who have been approved by DES as a result of an RFQ.

Network Providers means those pharmacies that provide covered health care services or supplies to an insured or a member pursuant to a contract with a network plan to act as a participating provider;

Examples of Network Providers in a sentence

• Network Providers Non-network Providers (*) Preauthorization may be required for this service.

• When requested or indicated, second opinions are provided by Network Providers and are covered with Preauthorization, or when obtained from a KFHPWA-designated Specialist.

• When a Medicare reimbursement rate is not available or is unable to be determined based on the information submitted on the claim, the Allowable Amount for non-contracting Providers will represent an average contract rate in aggregate for Network Providers adjusted by a predetermined factor established by BCBSTX.

• How Network Providers Are Paid We pay network providers directly for covered healthcare services.

• Virtual VisitsVirtual Visits provide You with access to Virtual Network Providers that can provide diagnosis and treatment of non-emergency medical and behavioral health conditions in situations that can be handled without a traditional PCP office visit, behavioral health office visit, Urgent Care visit or Emergency Care visit.

More Definitions of Network Providers

Network Providers mean health care providers such as primary care physicians, specialists, hospitals, labs, surgery centers, inpatient and outpatient facilities.

Network Providers 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 Providers means the providers of debit transaction network services under the Program mutually agreed upon by Retailer and Bank after requesting and reviewing *** Confidential material redacted and filed separately with the Commission the service proposals and subject to change upon the mutual agreement of Bank and Retailer, and which shall include, as of the Commencement Date, Visa and Interlink.

Network Providers means those pharmacists and pharmacies who provide covered health-care

Network Providers. – means those pharmacists and pharmacies who provide covered health care services and supplies to an insured or a member pursuant to a contract

Network Providers means wireless network operators and enablers within Macheen’s virtual network of wireless Internet network operators and enablers, who provide wireless services and network access to Macheen in support of the Services.

Network Providers means the Providers with whom Contractor has a contract in place under which the Provider meets Contractor’s credentialing criteria and provides Covered Services to Members at Contractor’s contracted rates, terms and conditions.