Non-Plan Provider definition

Non-Plan Provider means a Provider that does not meet the definition of Plan Provider unless otherwise specified in the definition of a particular Provider.
Non-Plan Provider means a Provider who does not have an independent contractor agreement with HPN.
Non-Plan Provider means a Provider who does not have an independent contractor agreement with SHL.

Examples of Non-Plan Provider in a sentence

  • Covered Services rendered in a Non-Plan Provider facility will be paid at the Non-Participating Provider facility payment level.

  • Non-Plan Provider Services provided or arranged by criminal justice institutions for Members in the custody of law enforcement officers, unless the Services are covered as Out-of-Plan Emergency Services.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with Blue Cross and Blue Shield or in a Non-Plan 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.

  • You are responsible for any Non-Plan Provider Emergency Service charges that exceed payments made by HPN.

  • When seeking reimbursement from HPN for expenses incurred in connection with services received from Non-Plan Providers, the Member must complete a Non-Plan Provider Claim Form and submit it to the HPN Claims Department with copies of all of the medical records, bills and/or receipts from the Provider.


More Definitions of Non-Plan Provider

Non-Plan Provider means a Provider who does not have an independent contractor agreement with the CO-OP.
Non-Plan Provider or "Out-of-network Provider" means a Provider who does not have an independent contractor agreement with LIBERTY.
Non-Plan Provider means a Provider who does not have an independent contractor agreement with HPN. ❖ “Occupational” with respect to any Illness or Injury means any Illness or Injury arising out of or in the course of employment for pay or profit.
Non-Plan Provider or “Out-of-network Provider” means a Provider who does not have an
Non-Plan Provider means a Provider that does not meet the definition of Plan Provider unless otherwise specified in the definition of a particular Pro­ vider.
Non-Plan Provider means a Provider that does not meet the definition of Plan Provider unless
Non-Plan Provider means a vision provider who does not have an independent contractor agreement with SHL.