Non-Network Provider definition

Non-Network Provider means any hospital, day care centre or other provider that is not part of the network.

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Non-Network Provider means an any individual, corporate entity, or any other organization that is engaged in the delivery of health care services, is legally authorized to do so by the State in which it delivers the services and who does not have a contract or any other pre-arranged payment or employment agreement with the Contractor.

Non-Network Provider means any hospital that is not part of the network.

Examples of Non-Network Provider in a sentence

• In-Network Provider (You will pay the least) Non-Network Provider (You will pay the most) If you visit a health care provider’s office or clinic Primary care visit to treat an injury or illness 0% coinsurance 20% coinsurance Virtual visits (Telehealth) benefits available.

• In-Network Provider (You will pay the least) Non-Network Provider (You will pay the most) If you visit a health care provider’s office or clinic Primary care visit to treat an injury or illness $10/visit 20% coinsurance Virtual visits (Telehealth) benefits available.

• In-Network Provider (You will pay the least) Non-Network Provider (You will pay the most) Durable medical equipment 0% coinsurance 20% coinsurance *See Durable Medical Equipment Section Hospice services 0% coinsurance 20% coinsurance --------none-------- If your child needs dental or eye care Children’s eye exam No charge 20% coinsurance *See Vision Services section.

• The Contractor shall provide for a second opinion from a qualified Network Provider or arrange for the Enrollee to obtain one from a Non-Network Provider, at no cost to the Enrollee.

• In-Network Provider (You will pay the least) Non-Network Provider (You will pay the most) If you visit a health care provider’s office or clinic Primary care visit to treat an injury or illness $25/visit 20% coinsurance Virtual visits (Telehealth) benefits available.

More Definitions of Non-Network Provider

Non-Network Provider means any hospital, day care centre or other provider that is not a part of the Network

Non-Network Provider means any physician, dentist, optometrist, anesthesiologist, hospital, x-ray, laboratory and ambulance service, or other person who:

Non-Network Provider means an any individual, corporate entity, or any other organization that is engaged in the delivery of health care services, is legally authorized to do so by the State in which it delivers the services and who does not have a contract or any other pre-arranged payment or employment agreement with the Contractor. This was formerly referred to as Non- Participating Provider Notice of Adverse Benefit Determination means written notification to an Enrollee and written or verbal notification to a Provider when applicable, of an Adverse Benefit Determination that will be taken by the Contractor. This is formerly referred to as a Notice of Action. Notice of Appeal Resolution means written notification to an Enrollee, and a Provider when applicable, of the Contractor’s resolution of an Appeal. NQF means the National Quality Forum. Office of Recovery Services (ORS) means an agency within the Department of Human Services.

Non-Network Provider means any individual, corporate entity, or any other organization that is engaged in the delivery of health care services, is legally authorized to do so by the State in which it delivers the services and who does not have a contract or any other pre-arranged payment or employment agreement with the Contractor. Notice of Adverse Benefit Determination means written notification to an Enrollee and written or verbal notification to a Provider when applicable, of an Adverse Benefit Determination that will be taken by the Contractor. Notice of Appeal Resolution means written notification to an Enrollee, and a Provider when applicable, of the Contractor’s resolution of an Appeal. NQF means the National Quality Forum. Office of Recovery Services (ORS) means an agency within the Department of Human Services.

Non-Network Provider means a provider not under contract as a Network Provider.

Non-Network Provider means a provider who is not a Network Provider. OCCUPATIONAL THERAPY

Non-Network Provider. A Provider who is not a member of Our Preferred Care Provider Network or another Blue Cross and Blue Shield Plan PPO Network. Participating Providers and Non-Participating Providers are Non-Network Providers. Occupational Therapy (OT) – The evaluation and treatment of physical injury or disease, cognitive impairments, congenital or developmental disabilities, or the aging process by the use of specific goal directed activities, therapeutic exercises and/or other interventions that alleviate an impairment and/or improve functional performance. These can include the design, fabrication or application of Orthotic Devices; training in the use of orthotic and prosthetic devices; design, development, adaptation or training in the use of assistive devices; and the adaptation of environments to enhance functional performance. Open Enrollment – A period of time each Policy Year, specified in the Schedule of Benefits, during which a Subscriber and their eligible Dependents may enroll for Benefits under this Contract.