Non-Administrator Provider definition

Non-Administrator Provider means a Provider that does not meet the definition of Administrator Provider unless otherwise specified in the definition of a particular Provider.

Examples of Non-Administrator Provider in a sentence

  • For example, the Claim Administrator may pay benefits to you if you receive Covered Services from a Non-Administrator Provider.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Participating Provider facility payment level.DETOXIFICATIONCovered Services received for detoxification are not subject to the Substance Use Disorder Treatment provisions specified above.

  • Non-Administrator Provider When you receive Outpatient Hospital Covered Services from a Non-Administrator Provider, benefits will be provided at the same payment level which would have been paid had such services been received from a Non- Participating Provider.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Administrator Provider facility payment level.DETOXIFICATIONCovered Services received for detoxification are not subject to the Substance Use Disorder Treatment provisions specified above.

  • Benefits for Emergency Accident Care will be subject to the program deductible.Benefits for Emergency Medical Care will be provided at 80% of the Eligible Charge when you receive Covered Services from either a Participating, Non-Participating or Non-Administrator Provider.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the general payment level.

  • Covered Services rendered in a Non-Administrator Provider facility will be paid at the Non-Participating Provider facility payment level.BARIATRIC SURGERYBenefits for Covered Services received for bariatric Surgery will be provided under the HOSPITAL BENEFIT and PHYSICIAN BENEFIT sections of this benefit booklet, the same as for any other condition.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Participating Provider facility payment level.

  • Emergency Care Benefits for Emergency Accident Care will be provided at 80% of the Eligible Charge when you receive Covered Services from either a Participating, Non-Participating or Non-Administrator Provider.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Administrator Provider facility payment level described later in this benefit section.DETOXIFICATIONCovered Services received for detoxification are not subject to the Substance Use Disorder Treatment provisions specified above.

Related to Non-Administrator Provider

  • SARON Administrator means the SIX Swiss Exchange AG (or any successor administrator of the Swiss Average Rate Overnight).

  • SONIA Administrator means the Bank of England (or any successor administrator of the Sterling Overnight Index Average).

  • Program Administrator means the person retained by the Wisconsin PACE Commission as provided in subsection (5)(b).

  • SOFR Administrator means the Federal Reserve Bank of New York (or a successor administrator of the secured overnight financing rate).

  • RFR Administrator means the SONIA Administrator.

  • Term SOFR Administrator means CME Group Benchmark Administration Limited (CBA) (or a successor administrator of the Term SOFR Reference Rate selected by the Administrative Agent in its reasonable discretion).

  • Account Administrator means the person(s) who have been granted authority by Customer to set up, amend, or otherwise control settings and/or make additional purchases for the Account via the Administrative Portal. Account Administrators may have varying levels of Account rights, skills, or permissions.

  • Settlement Administrator means Epiq Systems. Settlement Class Counsel and Defendant may, by agreement, substitute a different organization as Settlement Administrator, subject to approval by the Court if the Court has previously approved the Settlement preliminarily or finally. In the absence of agreement, either Settlement Class Counsel or Defendant may move the Court to substitute a different organization as Settlement Administrator, upon a showing that the responsibilities of Settlement Administrator have not been adequately executed by the incumbent.

  • payment service provider means any of the categories of legal person referred to in Article 1(1) of Directive 2007/64/EC and the natural or legal persons referred to in Article 26 of that Directive, but excludes those insti­ tutions listed in Article 2 of Directive 2006/48/EC of the European Parliament and of the Council of 14 June 2006 relating to the taking up and pursuit of the business of credit institutions (1) benefiting from a Member State waiver exercised under Article 2(3) of Directive 2007/64/EC;

  • Provider panel means a panel of health care providers providing health care services under a prudent

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.