Specialist Physician definition

Specialist Physician means a licensed physician who qualifies as an attending physician and who examines a patient at the request of the attending physician or authorized nurse practitioner to aid in evaluation of disability, diagnosis, or provide temporary specialized treatment. A specialist physician may provide specialized treatment for the compensable injury or illness and give advice or an opinion regarding the treatment being rendered, or considered, for a patient’s compensable injury.

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Specialist Physician or “Specialist” means a Plan Provider who has an independent contractor agreement with the CO-OP to assume responsibility for the delivery of specialty medical services to Members. These specialty medical services include any Physician services not related to the ongoing primary care of a patient. A Plan Specialist Physician’s agreement with the CO-OP may terminate. In the event that a Member’s Plan Specialist Physician’s agreement terminates, another Plan Specialist Physician will be selected for the Member if those services are still required.

Specialist Physician or “Specialist” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for the delivery of specialty medical services to Members. These specialty medical services include any Physician services not related to the ongoing primary care of a patient. A Specialist Physician’s agreement with HPN may terminate. In the event that a Member’s Specialist Physician’s agreement terminates, another Specialist Physician will be selected for the Member if those services are still required.

Examples of Specialist Physician in a sentence

• Some Prescription Drugs are more cost effective for specific indications as compared to others; therefore, a Prescription Drug may be listed on multiple tiers according to the indication for which the Prescription Drug was prescribed, or according to whether it was prescribed by a Specialist Physician.

• Such treatment plan may limit the number of visits to the Specialist Physician, limit the period of time in which visits to the Specialist Physician are authorized, and require the Specialist Physician to communicate regularly with the Primary Care Physician regarding the Covered Person's treatment and health status.

• Covered transplants must be ordered by the Member’s PCP and Participating Specialist Physician and pre-authorized by HMO's Medical Director.

• Standing Referrals to a Network Specialist Physician You may obtain a standing referral to a Network Specialist Physician under the following circumstances: • You have a condition or disease that is life threatening, degenerative, chronic, or disabling and requires specialized medical care; and • The Specialist Physician is a Network Physician and has expertise in treating the life-threatening, degenerative, chronic, or disabling disease or condition.

• If the arbitration results in a decision that no money or a lesser amount than was determined by PacifiCare is owing to Specialist Physician, PacifiCare shall release to IPA the amounts which were erroneously withheld from IPA's Capitation Payment.

More Definitions of Specialist Physician

Specialist Physician or “Specialist” means a Physician who assumes responsibility for the delivery of specialty medical services to Insureds. These specialty medical services include any Physician services not related to the ongoing primary care of the Insured.  “Specialty Drugs” are high-cost oral, injectable, infused or inhaled Covered Drugs as identified by SHL’s P&T Committee that are either self-administered or administered by a healthcare Provider and used or obtained in either an outpatient or home setting.

Specialist Physician means a physician who is a certificant or fellow of the Royal College of Physicians and Surgeons of Canada.

Specialist Physician or “Specialist” means a Physician who assumes responsibility for the delivery of specialty medical services to Insureds. These specialty medical services include any Physician services not related to the ongoing primary care of the Insured.

Specialist Physician means a Participating Physician who is professionally qualified to practice his/her designated specialty and whose agreement with IPA or a Payor, as appropriate, includes responsibility for providing Covered Services in his/her designated specialty.

Specialist Physician or “Specialist” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for the delivery of specialty medical services to Members. These specialty medical services include any Physician services not related to the ongoing primary care of a patient. A Specialist Physician’s agreement with HPN may terminate. In the event that a Member’s Specialist Physician’s agreement terminates, another Specialist Physician will be selected for the Member if those services are still required.  “Specialty Drugs” are high-cost oral, injectable, infused or inhaled Covered Drugs as identified by HPN’s P&T Committee that are either self-administered or administered by a healthcare Provider and used or obtained in either an outpatient or home setting.

Specialist Physician means a Physician who provides Medical Care in any generally accepted medical specialty or subspecialty.

Specialist Physician or "Specialist" means a person licensed to practice medicine in all of its branches under the Medical Practice Act of 1987 with a specialty in an area other than primary care or psychiatry.