Specialist Provider definition

Specialist Provider means an allopathic or osteopathic physician or ARNP, whose practice is limited to a particular specialty and is either board certified or board eligible and who meets FCHN’s credentialing standards, and under the terms of this Agreement, agrees to provide Covered Services to Participants within the scope of his/her license.
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Examples of Specialist Provider in a sentence

  • When practical, each Intern Specialist, Temporary Specialist and Probationary Specialist will be provided support by a Support Specialist Provider (SSP) in collaboration with the site administrator.

  • Except as otherwise required by law, in the event that a Covered Person needs a non‑Emergency hospital admission, each Participating IPA Provider shall either refer the Covered Person back to his or her Primary Care Physician (if Participating Provider is a Specialist Provider) or obtain prior approval for such admission from Health Plan, consistent with Program Requirements and the applicable Coverage Plan.

  • BCBSM Vision Specialist Provider Participation Agreement (WP3392 DEC 17) incorporated by reference.

  • A Specialist Provider may make further Referrals to other Participating Physicians, Participating Hospitals, or other Participating Health Professionals, but in each case must receive prior approval of the responsible Participating Primary Care Provider (PCP) and authorization in advance from UnitedHealthcare Community Plan.

Related to Specialist Provider

  • Specialist means a dentist who has received a specialty

  • 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.

  • Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

  • Professional Provider means a Physician, Dentist, Podiatrist, Psychologist, Chiropractor, Optometrist or any Provider designated by the Claim Administrator or another Blue Cross and/or Blue Shield Plan.

  • Training provider means an organization meeting the eligibility conditions as mentioned in Data Sheet and selected in accordance with the criteria set forth for the purpose.