Participating Provider definition
Participating Provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.
Participating Provider means a Plan Hospital or Professional Provider which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan to provide services to partici pants in a Participating Provider Option program or a Plan facility or Professional Provider which has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider.
Participating Provider means a provider who, under a contract with the health carrier or with its contractor or subcontractor, has agreed to provide health care services to covered persons with an expectation of receiving payment, other than coinsurance, copayments or deductibles, directly or indirectly from the health carrier.
Examples of Participating Provider in a sentence
Provider may identify itself as a Participating Provider with respect to those Benefit Plan types in which Provider participates with Cigna.
More Definitions of Participating Provider
Participating Provider means an individual or entity that has entered into an agreement with Health Plan or a Health Plan contractor to provide or arrange for the provision of Covered Services to Members.
Participating Provider means, for purposes of this section only, with respect to a covered service, a facility, Physician or other health care provider who has a contractual relationship with BCBSMT setting a rate (above which the provider cannot bill the Member) for furnishing such item or service under The Plan, regardless of whether the provider is considered a preferred or In-Network provider for purposes of In-Network or Out-of-Network Benefits under The Plan.
Participating Provider means a Hospital or Professional Provider that either: (i) has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield to provide services to participants in the benefit program, or; (ii) has been designated by a Blue Cross and/or Blue Shield Plan as a Participating Provider in the benefit program.
Participating Provider means, for purposes of this Amendment only, with respect to a Covered Service, a facility, physician or other health care provider who has a contractual relationship with BCBSMT setting a rate (above which the provider cannot bill the member) for furnishing such item or service under the Contract to which this Amendment is attached regardless whether the provider is considered a preferred or in-network provider for purposes of in-network or out-of-network benefits under the subject Contract.
Participating Provider means a health care
Participating Provider. A Provider who has a contract with Us to provide services to You. A list of Participating Providers and their locations is available on Our website at ▇▇▇.▇▇▇▇▇▇▇.▇▇▇ or upon Your request to Us. The list will be revised from time to time by Us.
Participating Provider means a provider who has agreed to provide health care services to enrollees