Tiered network definition
Tiered network means a network that identifies and groups some or all types of providers and facilities into specific groups to which different provider reimbursement, covered person cost-sharing, or provider access requirements, or any combination thereof, apply for the same services.
Tiered network means a network that identifies and
Tiered network means a network that identifies and groups some or all types of
More Definitions of Tiered network
Tiered network means a network of Healthcare Providers for which (i) an Insurer divides the in-network Providers into different sub-groups based on objective price,
Tiered network means a network of Healthcare Providers for which
Tiered network means a network that identifies and groups some or all types of health care providers and facilities into specific groups to which different participating provider reimbursement, covered person cost-sharing or participating provider access requirements, or any combination thereof, apply for the same health care services.
Tiered network means a network that supports a health benefits plan in which there
Tiered network means a provider network in which: (i) providers are assigned to, or placed in, different benefit tiers, as determined by Tiering; and (ii) patients receive benefits and pay the copayment, coinsurance, or deductible amounts that are associated with the benefit tier to which the provider from whom services were received is assigned.
Tiered network or “tiering” means a network of participating providers which has been divided into sub-groupings differentiated by the health insurer according to cost-sharing levels, provider payment, performance ratings, quality scores, or any combination of these or other factors established as a means of influencing the insured person’s choice of provider.
Tiered network means a network that identifies and assigns some or all types of providers and facilities into specific groups to which different provider reimbursement, covered person cost-sharing, or provider access requirements, or any combination of reimbursement, cost-sharing, and access requirements, apply for the same service.