Professional Provider definition

Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.

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Professional Provider means a Physician, Dentist, Podiatrist, Psycholo­ gist, Chiropractor, Optometrist, Clinical Social Worker or any Provider designated by Blue Cross and Blue Shield of Illinois or another Blue Cross and/or Blue Shield Plan.

Professional Provider means any person paid for providing supervised visitation services, or an independent contractor, employee, intern, or volunteer operating independently or through a supervised visitation center or agency.

Examples of Professional Provider in a sentence

• Such procedures as adopted by the Plan shall, in the case of an Urgent Care Claim, permit a Professional Provider with knowledge of the Member’s medical condition to act as the Member’s authorized representative.

• Alternate Physician or Professional Provider of Service: The Resident and Responsible Party agree that if the physician or any other professional provider of service designated by the Resident or Responsible party is not available to serve the Resident, fails to serve the Resident, or fails to comply with any applicable provision of federal or state law, the Facility is authorized to obtain the services of a substitute physician or professional provider of service.

• A Professional Provider who provides services related to dialysis without a Referral.

• Medical Care rendered by a Participating Professional Provider in charge of the Member’s case while an Inpatient in a Participating Facility Provider that is a Hospital, Rehabilitation Hospital or Skilled Nursing Facility for a condition not related to Surgery or pregnancy, or except as specifically provided.

• Benefits will be provided for injectable medications required in the treatment of an injury or illness administered by a Participating Professional Provider.

More Definitions of Professional Provider

Professional Provider means an individual provider or health care professional

Professional Provider means an individual provider or health care professional licensed, accredited, or certified to perform specified health

Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator.

Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist, Clinical Social Worker or any Provider designated by Us (or other participating Blue Cross and/or Blue Shield Plan).

Professional Provider means an individual clinician who provides health care services. Professional provider shall have the same meaning as non-institutional provider.

Professional Provider means an individual or practitioner, who is licensed/certified to render covered services. Professional Providers include, but are not limited to:

Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist, Clinical Social Worker or any Provider designated by 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.