Non-Network Provider means any hospital, day care centre or other provider that is not part of the network.
Non-Network Provider means any hospital that is not part of the network.
Non-Network Provider means a practitioner or approved facility that has not entered into an agreement with OptumHealth to provide covered services to you.
Examples of Non-Network Provider in a sentence
The Plan provides different levels of benefits based on whether the Participants use a Network or Non- Network Provider.
M-18 SCHEDULE OF BENEFITS If the Provider is a Non- Network Provider for this Certificate, you will be responsible for Covered Services which exceed Our Maximum Allowable Amount.
More Definitions of Non-Network Provider
Non-Network Provider means any Hospital, day care centre or other provider that is not part of the Network.
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 a medical practitioner, provider facility, or other provider who is NOT identified in the most current list for the network shown on your identification card. Services received from a non-network provider are not covered, except for:
Non-Network Provider means any physician, dentist, optometrist, anesthesiologist, hospital, x-ray, laboratory and ambulance service, or other person who:
Non-Network Provider means any hospital, day care centre or other provider that is not part of thenetwork
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 can also be referred to a 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.