Physician contract definition

Physician contract means any contract between a physician and a carrier or a carrier's network, physician panel, intermediary, or representative providing the terms under which the physician agrees to provide health care services to an enrollee pursuant to a health benefit plan.
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Physician contract means any contract between a physician and a carrier or a
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Physician contract means any contract between a physician and a carrier or a 1718 carrier's network, physician panel, intermediary, or representative providing the terms 1719 under which the physician agrees to provide health care services to an enrollee pursuant 1720 to a health benefit plan. 1721 (8)(7) 'Postpayment audit' means an investigation by a health benefit plan, carrier, 1722 insurer, or panel, or agent thereof, of whether a claim was properly paid to a claimant. 1723 (9)(8) 'Retroactive denial of a previously paid claim' or 'retroactive denial of payment' 1724 means any attempt by a carrier retroactively to collect payments already made to a 1725 claimant with respect to a claim, or any portion thereof, by requiring repayment of such 1726 payments, by reducing other payments currently owed to the claimant, by withholding 1727 or setting off against future payments, or in any other manner reducing or affecting the 1728 future claim payments to the claimant."
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Examples of Physician contract in a sentence

  • Non-Participating Provider Physician means a Physician that does not have a Participating Provider Physician contract with Us. Physician Extender Means a Nurse Practitioner, Physician Assistant, Certified Registered Nurse Anesthetist, Physical Therapist Assistant, or Mid-wife.

  • Non-Participating Provider Physician means a Physician that does not have a Participating Provider Physician contract with the Service Organization.

  • Non-Participating Provider Physician means a Physician that does not have a Participating Provider Physician contract with Us. Post-Service Claim Means a request for payment for Covered Services rendered.

  • From the questionnaire survey of this research, it was discovered most of the respondents were replied that the projects were not completed as per the agreed time, cost and quality.

  • Plan will set up “Primary Care Physician Accounts” for each Primary Care Physician contract participating in risk with Plan.

  • Non-Participating Provider Physician means a Physician that does not have a Participating Provider Physician contract with Us.

  • RECOMMENDATIONYour attention is drawn to the letter from the Independent Board Committee set out in the Composite Document, which contains its recommendation to the Qualifying OOIL Shareholders in respect of the Offer.

  • During 2019 and 2018, MCW recognized $75,864 and$71,613, respectively, of FH-MCW Community Physician contract fees related to these services.

  • One (1) Physician contract to provide services as a medical review officer to review workplace drug testing results.

  • As of December 31, 2003, updated standard Physician contract language for contracts entered into in states that do not require a filing with state regulatory agencies to confirm that, as between Aetna and Participating Physicians, Physicians own their own medical records and that Aetna has a right to receive or review such records only as reasonably needed.


More Definitions of Physician contract

Physician contract means a contract between a physician and a contracting entity
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Related to Physician contract

  • Bona fide physician-patient relationship means a treatment or counseling relationship between a physician and patient in which all of the following are present:

  • Physician assistant supervision agreement means a written agreement, jointly

  • Provider contract means any contract between a provider and a carrier (or a carrier's network,

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Physician assistant means a person licensed as a physician

  • Sub-contracting means the primary contractor’s assigning or leasing or making out work to, or employing another person to support such primary contractor in the execution of part of a project in terms of the contract.

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

  • Open Contract means a Contract which has not been closed out and which has not yet matured;

  • sub-contract means the primary contractor’s assigning, leasing, making out work to, or employing, another person to support such primary contractor in the execution of part of a project in terms of the contract;

  • Primary care physician or “PCP” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for arranging and coordinating the delivery of Covered Services to Members. A Primary Care Physician’s agreement with HPN may terminate. In the event that a Member’s Primary Care Physician’s agreement terminates, the Member will be required to select another Primary Care Physician.

  • Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

  • Pharmacy technician trainee or “technician trainee” means an individual who is in training to become a pharmacy technician and who is in the process of acquiring national certification as a pharmacy technician as provided in rule 657—3.5(155A).

  • CFD Contract or "CFD" shall mean a contract which is a contract for difference by reference to fluctuations in the price of the relevant security or index;

  • Prime Contract means the contract between LOCKHEED MARTIN and the U.S. Government or between LOCKHEED MARTIN and its higher-tier contractor who has a contract with the U.S. Government.

  • Physician means a licensed practitioner of medical, surgical, dental, services or the healing arts including accredited Christian Science Practitioner, acting within the scope of his/her license. The treating physician cannot be the Insured, a Traveling Companion, a Family Member, or a Business Partner.

  • Government Contract means any prime contract, subcontract, letter contract, purchase order or delivery order executed or submitted to or on behalf of any Governmental Body or any prime contractor or higher-tier subcontractor, or under which any Governmental Body or any such prime contractor or subcontractor otherwise has or may acquire any right or interest.

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide items and services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Participating Durable Medical Equipment Provider means a Durable Medical Equipment Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Service Contract means, with respect to a Financed Vehicle, the agreement, if any, financed under the related Receivable that provides for the repair of such Financed Vehicle.

  • Health care facility or "facility" means hospices licensed

  • Contracted Services means medical services, nursing services, health-related services, ancillary services, or environmental services provided according to a documented agreement between a health care institution and the person providing the medical services, nursing services, health-related services, ancillary services, or environmental services.

  • Participating physician means a physician licensed in Virginia to practice medicine, who practices

  • Smart contract means a computer program stored in an electronic ledger system wherein the outcome of the execution of the program is recorded on the electronic ledger;

  • Pharmacy technician or “technician” means a person who is employed in Iowa by a licensed pharmacy under the responsibility of an Iowa-licensed pharmacist to assist in the technical functions of the practice of pharmacy, and who is registered pursuant to 657—Chapter 3, and includes a certified pharmacy technician, a pharmacy technician trainee, and an uncertified pharmacy technician.

  • Emergency Medical Technician (EMT means: an individual licensed with cognitive knowledge and a scope of practice that corresponds to that level in the National EMS Education Standards and National EMS Scope of Practice Model.

  • Adult foster care facility means an adult foster care facility licensed under the adult foster care facility licensing act, 1979 PA 218, MCL 400.701 to 400.737.