Provider network definition

Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

Provider network means an entity that negotiates directly or indirectly with a discount medical plan organization on behalf of more than one provider to provide medical or ancillary services to members.

Provider network means an affiliated group of varied health care providers that is

Examples of Provider network in a sentence

• Contractor ensures that Subcontracts executed with Providers seek to apply best practices in the management of its Provider Network.

• As further specified by EOHHS, Drug and Non-Drug Pharmacy Product Rebate Data shall include pharmacy claims data, 837 medication claims data, pharmacy Provider Network data, and the MassHealth Rebate File Submission Reports (see Appendix A).

• Any notice relating to breach, termination or indemnification given under this Agreement to EmblemHealth shall be sent in writing by certified mail, return receipt requested, postage prepaid, or by overnight courier service, with a copy to General Counsel, at 55 Water Street, New York, New York 10041, Attn: Senior Vice President, Provider Network Management.

• Preferred Provider Network means a network of hospitals which have agreed to a cashless packaged pricing for certain procedures for the insured person.

• The Contractor shall submit electronically to the Department, through the Provider Network Data System Portal, an updated provider network report on a quarterly basis, or more frequently if network changes occur, as outlined in the Provider Network Data Dictionary.

More Definitions of Provider network

Provider network means an affiliated group of varied health care providers

Provider network means an entity created pursuant to part 3 of article 18 of title 6, C.R.S., or any functionally equivalent entity formed under any subsequently enacted statute of this state.

Provider network means a group of health care providers formed to provide health care services to individuals.

Provider network means a health benefit plan under which health care services are provided to enrollees through contracts with health care providers and that requires those enrollees to use health care providers participating in the plan and procedures covered by the plan. The term includes a network operated by:

Provider network means those providers who have entered into a contract or agreement with the plan under which such providers are obligated to provide items and services to eligible individuals enrolled in the plan;

Provider network means an entity that negotiates directly or indirectly with a

Provider network means a health service intermediary other than an MCO that facilitates transactions between medical providers and insurers through a series of contractual arrangements.