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

Examples of Provider network in a sentence

  • The department has Provider Services representatives who serve all of Molina’s Provider network.

  • The Contractor shall ensure the Provider network is sufficient to support minimum hours of Provider operation to include service coverage from 8:00 a.m.–5:00 p.m. Mountain Time, Monday through Friday.

  • The Company arranges for health care providers to take part in the Preferred Provider network.

  • Delegates monitors its Provider network and ensures their Providers are not included in the Centers Medicare & Medicaid Services (CMS) Preclusions List.

  • Delegates are required to screen their Provider network against the Preclusions List monthly, within thirty (30) days of its release.


More Definitions of Provider network

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 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 an affiliated group of varied health care providers that is
Provider network means an entity that negotiates directly or indirectly with a
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 Participating Providers affiliated with the Contractor who are authorized to provide services to Members.