Preferred Provider definition

Preferred Provider or “Network Provider” means a doctor, hospital, medical facility or other provider of health care which is included in a network which has been designated by the Fund to render health related services to Fund participants.

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Preferred Provider means a health care Provider that has contracted with a Preferred Provider Organization to provide services to Insureds of the Company at negotiated rates.

Preferred Provider means an individual or entity that satisfies the requirements of Section 4.01.B.

Examples of Preferred Provider in a sentence

• MCPS will contract with both a Dental Preferred Provider Organization (DPPO) and a Dental Maintenance Organization Provider (DMO) to provide dental benefits to MCPS employees.

• Does not have a direct or indirect financial relationship with the ACO, a Next Generation Participant, or a Preferred Provider, except that such person may be reasonably compensated by the ACO for his or her duties as a member of the governing body of the ACO.

• The ACO shall provide each Next Generation Participant and Preferred Provider with a copy of this Agreement.

• The ACO shall not distribute Shared Savings to any Next Generation Participant or Preferred Provider that has been terminated pursuant to Section XIX.A.1.

• If a Next Generation Participant or Preferred Provider is under investigation or has been sanctioned but not excluded from Medicare program participation, CMS may take any of the actions set forth in Section XIX.

More Definitions of Preferred Provider

Preferred Provider means any provider who has entered,

Preferred Provider means a health care provider that has contracted with CareFirst to render Covered Services to Members. A Preferred Dentist who provides Covered Dental Services or a Contracting Vision Provider who provides Covered Vision Services is not a Preferred Provider for the purposes of this definition. Preferred Provider relates only to method of payment, and does not imply that any physician, health care professional or health care facility is more or less qualified than another.

Preferred Provider means a provider who enters into a preferred provider arrangement with an administrator or carrier.

Preferred Provider means a duly licensed health care provider or group of providers who have contracted with the health care insurer, under this chapter, to provide health care services to covered persons under a health benefit plan.

Preferred Provider means a health care provider or group of providers who have contracted to provide specified covered services.

Preferred Provider means any substance abuse organization that

Preferred Provider or “PP” means a specific local access provider requested by Customer for Leased Access. “Service Address” means the business building where Customer receives the Service.