Rendering Participating Provider definition

Rendering Participating Provider means any licensed dental care provider employed or engaged by the Participating Provider entity named above to provide Covered Services to Enrollees.
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Examples of Rendering Participating Provider in a sentence

  • Upon the termination or expiration of this Agreement, Participating Provider shall return to DDWA all confidential and proprietary information in the possession of Participating Provider or a Rendering Participating Provider.

  • Participating Provider shall not permit any Rendering Participating Provider to provide services to eligible Enrollees on Participating Provider’s behalf unless such Rendering Participating Provider has been approved by DDWA as a Participating Provider.

  • Rendering Participating Provider understands and agrees that the Fee Schedule applies to Participating Provider and all Rendering Participating Providers contracted under the same tax identification number (TIN), location and specialty.

  • Participating Provider and Rendering Participating Providers performing services under this Agreement shall secure and maintain from insurance companies acceptable to DDWA, naming Participating Provider, each Rendering Participating Provider associated with Participating Provider, and Participating Provider’s employees and agents as insureds, with professional and general liability coverage in an amount not less than $1,000,000 per claim and $3,000,000 in the aggregate.

  • Notices to Participating Provider or Rendering Participating Provider shall be addressed using the information provided on the signature page of this Agreement.

  • Participating Provider will ensure that each Rendering Participating Provider associated with their practice is listed on Appendix A to this Agreement.

  • To the extent reasonably appropriate and subject to any applicable state or federal fair hearing requirements, Participating Provider shall immediately restrict, suspend or terminate a Rendering Participating Provider from providing Covered Services to Enrollees upon the occurrence of any of the events set forth in subparagraphs a) through e) above.

  • Participating Provider shall have a written quality and utilization plan to identify, evaluate and remedy problems relating to access, continuity, quality, utilization and cost of services provided or authorized by Participating Provider or a Rendering Participating Provider.

  • If this Agreement is signed by a Rendering Participating Provider that provides dental services on behalf of and under the TIN of another Participating Provider, then the term of this Agreement shall coincide with the agreement executed by that Participating Provider, unless this Agreement is terminated earlier.

  • Participating Provider shall ensure that each Rendering Participating Provider complies with the terms and conditions of this Agreement, including but not limited to the Fee Schedule.

Related to Rendering Participating Provider

  • Participating Provider means an Administrator Hospital or Professional Provider which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or an Administrator facility which has been designated by the Claim Administrator as a Participating Provider.

  • Non-Participating Provider means an Administrator Hospital or Professional Provider which does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to participants in the Participating Provider Option program or a facility which has not been designated by the Claim Administrator as a Participating Provider.

  • Non-Participating Orthotic Provider means an Orthotic Provider who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Participating Orthotic Provider means an Orthotic Provider who has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Participating Party means an enterprise or public body that has committed itself to reaching certain objectives under a voluntary agreement, or is covered by a national regulatory policy instrument;