PPO Provider definition

PPO Provider means a Dental Provider who contracts with the dental plan and agrees to accept the PPO Contracted Fee as payment in full for services provided under the dental plan.
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PPO Provider means an Eligible Provider, Hospital, or other facility that has a written agreement recognized by the Plan to provide health care services to Plan participants at specified costs.
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PPO Provider means a health care service provider that is contracted with and credentialed by a managed care organization to provide quality and cost effective services.
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Examples of PPO Provider in a sentence

  • Operations under cooperation programmes shall be selected by a monitoring committee as referred to in Article 47 of Regulation (EU) No 1303/2013.

  • You might find that a particular PPO Provider may not be accepting new patients.

  • Some Providers choose to be a PPO Provider for only some of our products.

  • Our Preferred Care PPO Network consists of a select group of Physicians, Hospitals and other Allied Health Professionals who have contracted with Us to participate in the Blue Cross and Blue Shield of Louisiana PPO Provider Network and render services to Our Members.

  • Any Provider who is a member or shareholder of a professional dental corporation or other entity that has entered into a corporate Delta Dental of Wisconsin PPO Provider agreement on behalf of its member, shareholder or employee Providers or that has entered into a corporate PPO Provider agreement with another member of the Delta Dental Plans Association on behalf of its member, shareholder or employee Providers.

  • If a Provider leaves the Network or is otherwise not available to you, you must choose another PPO Provider to get In-Network benefits.

  • The PPO Provider or Premier Provider must accept assignment of Benefits, meaning these Providers will be paid directly after satisfaction of the Deductible and Enrollee Coinsurance.

  • You may see any Dental Provider for your covered treatment whether the Provider is a PPO Provider, Premier Provider or a Non-Delta Dental Provider.

  • Payment for covered services performed by a PPO Provider is based on the Maximum Contract Allowance.

  • This plan is a dental PPO plan and the greatest benefits – including out-of-pocket savings – occur when you choose a PPO Provider.

Related to PPO Provider

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Provider is any individual or company that provides professional or technical services.

  • 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.

  • Education service provider means an education management organization, school

  • Third Party Provider means licensors, subcontractors and suppliers of BNYM furnishing the Third Party Products.

  • Medical provider means a medical service provider, a hospital, a medical clinic, or a vendor of medical services.

  • Local Service Provider (LSP) is the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.

  • ProviderOne or “P1” means the system commonly referred to as the Medicaid Management Information System (MMIS), and is the federally approved system used by the Washington Medicaid program to pay provider claims for goods and services authorized under the State Plan. The MMIS is certified by CMS and is the primary information system used by HCA to pay for health care.

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.

  • Replacement Provider has the meaning set forth in Section II.D.1.

  • Local education provider means a school district, a

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Ambulance service provider means Latrobe Health Services recognises the following providers for the purposes of paying benefits:

  • financial service provider means a person engaged in the business of providing financial services in terms of authorisation issued or registration granted by a financial sector regulator;

  • Certified service provider means an agent certified:

  • Services Provider means Owl Rock Capital Corporation, or any successor in such capacity in accordance with the Corporate Services Agreement.

  • Financial Services Provider means any Lender and any other provider of financial services or products;

  • Providers means individuals or organizations --------- licensed to practice dentistry (including specialists) as well as other dental professionals who provide ancillary reimbursable dental services.

  • Provider Organization means a group practice, facility, or organization that is:

  • Private provider means any person who contracts with a governmental entity to provide services directly to the public.

  • Electric provider means any of the following:

  • certification service provider means a person who has been granted a licence to issue a digital signature certificate;

  • Data Provider means a Participant that is registered to provide information to GS1 South Africa for use through the Verified by GS1 Services.

  • Payment Initiation Service Provider or “PISP” means an authorised third party provider which provides a service that allows that third party to pass payment instructions to us on your behalf in relation to your Account.

  • Third-party logistics provider means a person that provides or coordinates warehousing of or other logistics services for a drug or device in interstate commerce on behalf of a manufacturer, wholesale distributor, or dispenser of the drug or device but does not take ownership of the product or have responsibility for directing the sale or disposition of the product.