Provider Contracts definition

Provider Contracts means all Contracts with Providers or with intermediaries that contract with Providers with respect to the payment for health care or related services to Health Plan Members, Insureds or to Persons covered under a Client Contract.
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Provider Contracts means agreements entered into between KHA and Providers that are awarded under Chapter 126, Ordinance Code. This phrase shall not include Intra-agency Agreements and Small Provider Contracts.
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Provider Contracts means any and all provider contracts between the Company or any Subsidiary and a specialty healthcare service provider (x) pursuant to which subcapitation or other alternative payment arrangements are utilized, and (y) in each of the regions served by the Company and its Subsidiaries, the ten largest (measured by volume of services provided) provider contracts with respect to (1) in-patient services, (2) partial in-patient services, (3) intensive out-patient services and (4) out-patient services.
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Examples of Provider Contracts in a sentence

  • All approved Provider Contracts, unless otherwise withdrawn or terminated, shall expire 60 months from enrollment date, with the exception of Durable Medical Equipment (DME) Contracts which shall expire 36 months from enrollment date, unless withdrawn or terminated.

  • The Licensee must (subject to paragraph 16.6) procure Relevant Service Capability from External Service Providers on a competitive basis and under arrangements to be known as External Service Provider Contracts that are compliant with the principles established by Part B below (“the Part B Principles”).

  • Condition 44 (Treatment of Intellectual Property Rights) sets out and makes further provision relating to the Licensee’s management and development of the External Service Provider Contracts to which it is a party pursuant to this Condition 16.

  • The Services are set out in the Provider Contracts and the Service Level Agreement with Thurrock Council Provider Services.

  • The audit tool should be completed using the RAG definitions outlined in the Procedure for Monitoring Safeguarding Children and Vulnerable Adults via Provider Contracts.

  • If the cost of a Covered Dental Service is less than the member’s copayment for that Covered Dental Service, the copayment amount the member pays will be capped at the cost of the Covered Dental Service.The Dental Contractor’s Provider Contracts must limit the amount CHIP Providers may charge members for services in excess of the member’s benefit limits.

  • The Contractor shall make provisions, satisfactory to the Department, to protect the Department and the Enrollees in the event of Contractor or subcontractor insolvency, including but not limited to, hold harmless and continuation of treatment provisions in all Provider Contracts which protect the Department and Enrollees from costs of treatment and assures continued access to care for Enrollees.

  • Nothing in 211 CMR 52.11: Provider Contracts shall be construed to restrict or limit the rights of Health Benefit Plans to include as Providers Religious Non-medical Providers or to utilize medically based eligibility standards or criteria in deciding Provider status for Religious Non-medical Providers.

  • Research data have shown that parental involvement is an important key to student success.***To ensure the highest level of safety for all students, volunteers (WatchDogs/room helpers/field trip chaperones/etc) will need to submit a background check two weeks prior to attending.

  • Condition 39 (Determination of External Gain Share) and Condition 40 (Determination of the VAS Contribution), which provide for the Allowed Revenue to be varied to reflect benefits arising from, respectively, the Licensee’s management of External Service Provider Contracts and its provision of Value Added Services.


More Definitions of Provider Contracts

Provider Contracts has the meaning specified in Section 4.19. ------------------ ------------
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Provider Contracts means any and all agreements, including oral agreements known to the Company, by and between the Company or any Subsidiary and health care providers, including, but not limited to, physicians, hospitals, professional corporations, independent
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Provider Contracts means agreements between the Seller and Providers pursuant to which Providers agree to render health care services to Commercial Members.
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Provider Contracts has the meaning set forth in Section 4.10(b).
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Related to Provider Contracts

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

  • Customer Contracts means any Contracts pursuant to which the Company has provided or will provide products or services in connection with the Business.

  • Provider Agreements means all participation, provider and reimbursement agreements or arrangements now or hereafter in effect for the benefit of Tenant or any Manager in connection with the operation of any Facility relating to any right of payment or other claim arising out of or in connection with Tenant’s participation in any Third Party Payor Program.

  • Seller Contracts means all contracts, agreements and leases, other than those that are Governmental Permits, to which Seller is a party and pertain to the ownership, operation or maintenance of the Assets or the Business, including those described on Schedule 1.8.

  • Scheduled Contracts has the meaning set forth in Section 4.16.

  • Third Party Contracts means any agreements entered into by the Retailer and/or the Customer with any third parties, such as the Transmission Licensee and the MSSL, to enable the Retailer to retail electricity to Contestable Consumers. For the purposes of this Electricity Agreement, Third Party Contracts shall include, but is not limited to, the Retailer Use of Systems Agreement, the Market Support Services Agreement, and the Power System Operator•Market Participant Agreement (as defined under the Market Rules);

  • Seller Contract any Contract (a) under which Seller has or may acquire any rights or benefits; (b) under which Seller has or may become subject to any obligation or liability; or (c) by which Seller or any of the assets owned or used by Seller is or may become bound.

  • Service Contracts means contracts or agreements, such as maintenance, supply, service or utility contracts.

  • Customer Contract means any written contract or agreement (other than trade contracts) between Seller and any of its customers (or under which Seller has rights) which has been entered into and signed by the parties thereto in connection with the publication of the Directories and corresponding provision of Directory Services.

  • Business Contracts has the meaning ascribed to it in Section 1.01(a)(v).

  • Related Contracts is defined in clause (c) of Section 2.1.

  • 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.

  • Shared Contracts has the meaning specified in Section 4.12(b).

  • Supply Contracts means contracts having as their object the purchase, lease, rental or hire-purchase, with or without an option to buy, of products. A supply contract may include, as an incidental matter, siting and installation operations;

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

  • Assigned Contracts has the meaning set forth in Section 2.01(c).

  • Executory Contracts means executory contracts and unexpired leases as such terms are used in 11 U.S.C. § 365, including all operating leases, capital leases, and contracts to which the Debtor is a party or beneficiary on the Confirmation Date.

  • Transferred Contracts has the meaning ascribed to it in Section 2.1(c).

  • Project Contracts means collectively this Agreement, the Land Lease Agreement, the Construction Contract, O&M Contracts (if any) and any other material contract (other than the Financing Documents) entered into or may hereafter be entered into by the Concessionaire in connection with the Project;

  • Assumed Contracts has the meaning set forth in Section 2.1(d).

  • IT Contracts means any agreements, licences or other contractual arrangements with third parties relating to the IT Systems or IT Services, including licences of all software, leases of hardware and other procurement of IT Systems or IT Services;

  • Subcontracts means “Seller’s lower-tier subcontracts” (Note: “Subcontract” includes a transfer of commercial items between divisions, subsidiaries, or affiliates of the Contractor or subcontractor at any tier.); and

  • Terminated Contracts has the meaning set forth in Section 5.6(a).

  • Existing Contracts means the existing licenses and contracts given by the Railway Administration / Authority, in relation to commercial establishments, as existing on Station Development Land, as on the date of the Agreement, and as further set out in the Schedules, which shall, for avoidance of doubt, exclude any licenses and/ or contracts in relation to any Excluded Activities and/or Railway Operational Activities;

  • Service Subcontract means a subcontract primarily for the furnishing of services, to or for a recipient of Assistance, except where services are incidental to the delivery of products, equipment or commodities. A contract for the purchase or lease of goods, products, equipment, supplies or other property is not a “service subcontract” for the purposes of this definition.

  • IP Contracts shall have the meaning set forth in Section 3.14(b).