Referral Provider definition

Referral Provider means a provider, who is not the enrollee’s PCP, to whom an enrollee is referred for covered services.

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Referral Provider means a provider, who is not the Enrollee’s PCP, to whom an Enrollee is referred for Covered Services.

Referral Provider means a Participating Provider who performs Covered Services that are not Primary Care Covered Services, within their designated specialty(s) as defined in their Provider Agreement with COMPANY.

Examples of Referral Provider in a sentence

PacifiCare shall notify Medical Group of any complaint submitted by a Referral Provider, and Medical Group shall have at least twenty (20) days from receipt of notice to respond and present information.
The Third Party Referral Contracts and Integrated Technology Partner Contracts (excluding those with a Top Referral Provider or a Top Integrated Technology Party) to which the Company or any Company Subsidiary is a party do not vary in an adverse manner from the terms and conditions set forth in the Sample Agreements which would reasonably be expected to be material, individually or in the aggregate, to the Company and the Company Subsidiaries, taken as a whole.
There are no fines, fees, liabilities or claims pending or, to the Knowledge of the Company, threatened against the Company Group related to or in connection with the failure by the Company Group, any ISO, Key Agent, or Material Referral Provider to comply with the Payment Network rules.
THE LEAD STORE Inc., may be selling to other businesses, firms, or corporations within the same marketplace as the Company, THE LEAD STORE Inc., as an Independent Contracted Lead Service and Referral Provider will provide a thirty (30) day Exclusive to the Company for all Leads provided to Company, business, firm, or corporation.
Local Provider will indemnify Referral Provider for all losses and damages arising from any breach Local Provider’s representations or of these terms.
Where an Enrolled Eligible Veteran self-presents for Emergent Care to an in-network emergency department without an Approved Referral, Provider must both notify the VA and request retroactive Approved Referral from the VA within seventy -two (72) hours of the Enrolled Eligible Veteran self-presenting to the in-network emergency department.
Referral Provider shall be afforded full access to Company’s books and records as they relate to all Targets during normal business hours in order that Referral Provider may review Company’s payment of Commission and compliance with the other terms hereof.
Section 4.24 of the Company Disclosure Letter lists (a) each Third Party Referral Provider that individually or with its Affiliates was one of the top ten (10) largest Third Party Referral Providers of the Company Business based on net revenue of the Company for the twelve month period ended December 31, 2015 (the “Top Referral Providers”); and (b) the total dollar amount of net revenue attributable to each such Top Referral Provider for such period.
Company shall pay Referral Provider a commission pursuant to the Commissions Table outlined below for the closing of each loan obtained by any Target identified by Referral Provider pursuant to Section 3 hereof.
The Contractor shall ensure that no Member is billed by a Subcontractor or Referral Provider for any amount greater than would be owed if the Contractor provided the services directly.

More Definitions of Referral Provider

Referral Provider means a Contracted Physician who is professionally qualified to practice his/her designated specialty and whose agreement with HPSM includes responsibility for providing Covered Services in his/her designated specialty.

Referral Provider means the Party that delivers a Proposed Referral.