Preferred Provider Agreement definition

Preferred Provider Agreement means an agreement between a Provider and Blue Shield, regardless of the title, enabling such Provider to participate in the Preferred Provider network.
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Preferred Provider Agreement means a contract between or on behalf of a health care insurer and a preferred provider.
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Preferred Provider Agreement means the agreement in the form attached as Annexure 3.
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Examples of Preferred Provider Agreement in a sentence

  • Preferred Provider Agreement means an agreement between the PPO and a Provider that contains the rates and reimbursement methods for services and supplies provided by such Provider.

  • In-Network Provider means a Provider who has signed a Preferred Provider Agreement with the PPO.

  • Preferred Provider Organization (“PPO”) means a network of Providers and retail chain stores within the PPO Service Area that has signed a Preferred Provider Agreement.

  • Out-of-Network Provider means a Provider, located within the PPO Service Area, who has not signed a Preferred Provider Agreement with the PPO.

  • Prior permission is required to be taken from the principle employer for engagement of sub-contractors in part work/piece rated work.The Contract Agreement will specify major items of supply or services for which the contractor proposes to engage sub-contractor/sub-vendor.

  • Preferred Provider Organization (“PPO”) means a network of Providers and retail chain stores within the PPO Service Area that have signed a Preferred Provider Agreement.

  • Preferred Provider Agreement means the agreement between the PPO and a Provider who agrees to become an In-Network Provider.

  • In-Network Provider means a Provider who has signed a Preferred Provider Agreement with the PPO.Medically Necessary Contact Lenses means that adequate functional vision correction cannot be achieved with spectacles but can be achieved with contact lenses.

  • In-Network Provider means a Provider who has signed a Preferred Provider Agreement with the PPO.Medically Necessary Contact Lenses means: 1.

  • The participation of any Provider as a Preferred Provider shall be effective upon acceptance by Blue Shield of Provider’s application, Provider’s satisfaction of all applicable credentialing criteria, and execution of the Preferred Provider Agreement by Blue Shield.


More Definitions of Preferred Provider Agreement

Preferred Provider Agreement is defined in Section 2.3(a)(vii).
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Preferred Provider Agreement means an agreement between a Provider and the Network pursuant to which negotiated rates are established for payment of covered services rendered to a Participant.
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Preferred Provider Agreement means the agreement between MedAire and PT Medika Jasa Utama as set out in Annexure 3.
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Preferred Provider Agreement means that agreement dated the date hereof between Sellers and Buyer substantially in the form attached hereto as Exhibit B.
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Related to Preferred Provider Agreement

  • Preferred Provider Organization or "PPO" means an entity through which a group of health care providers, such as doctors, hospitals and others, agree to provide specific medical and hospital care and some related services at a negotiated price.

  • Preferred Provider or “Network Provider” means a doctor, hospital, medical facility or other provider of health care which is included in a network which has been designated by the Fund to render health related services to Fund participants.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other entity administering the Medicaid program and a health care operation under which the health care operation agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • Provider Agreements means all participation, provider and reimbursement agreements or arrangements now or hereafter in effect for the benefit of Tenant or any Manager in connection with the operation of any Facility relating to any right of payment or other claim arising out of or in connection with Tenant’s participation in any Third Party Payor Program.

  • Hospital purchaser/provider agreement (HPPA agreement) means a negotiated agreement entered between the fund and the hospital for the cost of hospital treatment.

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Related provider trust means a titling trust or other trust established by a licensed viatical settlement provider or a financing entity for the sole purpose of holding the ownership or beneficial interest in purchased policies in connection with a financing transaction. The trust shall have a written agreement with the licensed viatical settlement provider under which the licensed viatical settlement provider is responsible for ensuring compliance with all statutory and regulatory requirements and under which the trust agrees to make all records and files related to viatical settlement transactions available to the commissioner as if those records and files were maintained directly by the licensed viatical settlement provider.

  • Master Services Agreement means the master services agreement dated as of the date hereof, among the Service Providers, the Partnership, the Holding LP, the Holding Entities and others;

  • Applied Provider Advance has the meaning assigned to such term in Section 2.06(a).

  • Qualified provider means a person or business experienced in the design, implementation, and installation of energy conservation measures. A qualified provider to whom the contract is awarded shall give a sufficient bond to the municipality for its faithful performance.

  • Registered Provider means a registered provider of social housing (see section 80 of the Housing and Regeneration Act 2008);

  • Shared Services Agreement means an agreement entered into between two or more municipalities, including the District Municipality, whereby the participating municipalities agree to share services described in the agreement;

  • Unapplied Provider Advance means any Provider Advance other than an Applied Provider Advance.

  • New Provider means any replacement service provider or providers engaged to provide the Services (or part thereof) or substantially similar services or the Authority itself where the Services or substantially similar services or part thereof continue to be provided by the Authority after partial termination, termination or expiry of this Contract;

  • Provider contract means any contract between a provider and a carrier (or a carrier's network,

  • Services Agreement means an agreement entered into between a Utility and one or more Affiliates for the provision of Shared Services or For Profit Affiliate Services and shall provide for the following matters as appropriate in the circumstances:

  • Transitional Services Agreement means that certain Transitional Services Agreement to be entered into at the Closing between Seller or any of its Affiliates on the one hand, and Purchaser, on the other hand, in the form of Exhibit 10.1.236.

  • Maintenance agreement means a contract of limited duration

  • Enhancement Agreement means any agreement, instrument or document governing the terms of any Series Enhancement or pursuant to which any Series Enhancement is issued or outstanding.

  • Cardholder Agreement means the agreement between Bank and a Cardholder governing the terms and use of a Card.

  • Claims Allocation and Handling Agreement means the agreement of that name approved by XXX;

  • Provider agency means a funded organization under contract with the Children’s Board to deliver and provide social services and supports to children and families of Hillsborough County, FL.

  • Local Service Provider (LSP means the LEC that provides retail local Exchange Service to an End User. The LSP may or may not provide any physical network components to support the provision of that End User’s service.

  • Hub Provider means an entity that (i) provides Common Channel Signaling (SS7) connectivity between the networks of service providers that are not directly connected to each other; or (ii) provides third party database services such as LIDB. The SS7 messages received by Hub Providers are accepted or rejected by the Hub Provider depending on whether a contractual arrangement exists between the Hub Provider and the message originator (sender) and whether the message originator has contracted for the type of SS7 messages being submitted for transmission to the Hub Provider.