Plan Provider definition

Plan Provider means a 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 you at the time services are rendered to you.

Plan Provider means a Provider who has an independent contractor agreement with HPN to provide certain Covered Services to Members. A Plan Provider’s agreement with HPN may terminate, and a Member will be required to select another Plan Provider.

Plan Provider means a Provider who has an independent contractor agreement with SHL to provide certain Covered Services to Insureds. A Plan Provider’s agreement with SHL may terminate, and an Insured receiving care from that Provider may be required to select another Plan Provider.

Examples of Plan Provider in a sentence

• Blue Shield shall provide written notice to the Employer within a reasonable period of time of any termination or breach of Contract of a Plan Provider if such termination or breach may materially affect the Employer or its Subscribers.

• By submitting data to Subcontractor and/or Health Plan, Provider represents and attests to Subcontractor, Health Plan and the State that the data is accurate, complete and truthful, and upon Subcontractor’s and/or Health Plan’s request Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.

• If the Plan agrees to the continued treatment, the Plan will pay for Covered Services at the Plan Provider level of benefits for a limited time, as outlined above.

• A BHO coordinator will either assist in scheduling the appointment or will make a referral to the appropriate Plan Provider based on the service requested and the associated level of acuity.

• Plan Providers are not agents or employees of HPN; nor is HPN, or any employee of HPN, an employee or agent of a Plan Provider.

More Definitions of Plan Provider

Plan Provider means a Provider who has an independent contractor agreement with the CO-OP to provide certain Covered Services to Members. A Plan Provider’s agreement with the CO-OP may terminate, and a Member will be required to select another Plan Provider in order to continue receiving Plan Provider benefits.

Plan Provider means a 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 Covered Services to participants in the BlueChoice Preferred PPO℠ benefit program at the time Covered Services are rendered to you.

Plan Provider means a Provider who has an independent contractor agreement with LIBERTY to provide certain Covered Services to Members. A Plan Provider’s agreement with LIBERTY may terminate, and a Member will be required to select another Plan Provider.

Plan Provider means a Provider which has a written agreement with Blue Cross and Blue Shield of Illinois, with the entity chosen by Blue Cross and Blue Shield to administer its vision benefit program, or with another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

Plan Provider means a Provider which has a written agreement with Us (or another Blue Cross and/or Blue Shield Plan) to provide services to the Covered Person at the time services are rendered to the Covered Person.

Plan Provider means a Provider which has a written agreement with Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue

Plan Provider means an entity that enters into a contract with the Department to provide an insurance plan to members and their eligible dependents.