Primary Care Physicians definition

Primary Care Physicians means family or general practitioners, general internists, and general pediatricians.
Primary Care Physicians. (“PCP”) means the Physician responsible for supervising, coordinating, and providing initial and primary care to each Member who selects or is assigned to such physician. The PCP is responsible for: managing the delivery of all health and medical care services; for initial referrals for specialist care; and for maintaining the continuity of patient care to such Members. PCP includes physicians practicing in the area of internal medicine, general and family practice, or pediatrics; and may also include physicians in other areas of practice, as applicable, to the extent permitted by VHP and Applicable Requirements.
Primary Care Physicians or "PCP(s)" means that Preferred Professional designated by Payer and/or PROHEALTH from whom a Covered Person must receive Health Care Services and/or through who Covered Persons are required to access Health Care Services, except in Emergencies, in order for such Services to be considered by Payer and/or PROHEALTH to be Covered Services under the Payer's benefit plan and/or the extent to which such Services, when Covered Services, are reimbursable under such plan(s).

Examples of Primary Care Physicians in a sentence

  • A list of Practitioners/Providers who serve as In-network Primary Care Physicians may be found in the Provider Directory.

  • In-Network Providers include Primary Care Physicians / Providers (PCPs), Specialists (Specialty Care Physicians / Providers (SCPs)), other professional Providers, Hospitals, and other Facilities who contract with Us to care for You.

  • Primary Care Physicians include, but are not limited to, General Practitioners, Family Practice Physicians, Internists, Pediatricians, and Obstetricians/Gynecologists (if applicable).

  • Primary Care Physicians include, but are not limited to, General Practitioners, Family Practice Physicians, Internists, Pediatricians and Obstetricians/Gynecologists (if applicable).

  • The list of Providers in the Physician and Hospital Directory includes the location and phone numbers of all Primary Care Physicians, Plan Hospitals, and Participating Hospice Agencies in the Primary Care Physician Service Area.

  • Each Subscriber must select a Primary Care Physician for himself and each of his Dependents from the list of Primary Care Physicians in the HMO Physician and Hospital Directory.

  • Primary Care Physicians must be chosen from the seven county Focus Network in southeast Michigan.

  • Provider Directory You will find our Primary Care Physicians close to where you live and work across the State.

  • In-Network Practitioners/Providers In-network Practitioners/Providers, including Primary Care Physicians, specialists, facilities and ancillary Health Care Professionals, must be utilized, except in cases of an emergency.

  • Benefits are available for office visits for the diagnosis and treatment of a medical condition, including care and consultation provided by Primary Care Physicians or other Contracting Providers.


More Definitions of Primary Care Physicians

Primary Care Physicians means Physicians as defined by [***].
Primary Care Physicians means physicians who specialize in general or family practice medicine, internal medicine, or pediatric medicine and are participating providers in a Member Company's network other than in the Central Pennsylvania Region or Ohio.
Primary Care Physicians shall not refer Members except in accordance with Utilization Management procedures of the Plan and/or policies adopted by the IPA from time to time, and shall (i) refer a Member to another Participating Physician or Provider for non-emergency Covered Services, or (ii) self refer for other than primary care services, only upon compliance with the Referral Management Program as prescribed by the Plan or IPA. Specialist Physicians shall provide non emergency Covered Services (including diagnostic services) to a Member upon referral, by the Member's Primary Care Physician unless such referral authorization is not required and, if applicable, upon receipt of authorization from IPA, except in case of emergency. Specialist Physicians shall only refer a Member to another Participating Physician or other Participating Provider for non-emergency Covered Services upon compliance with the Referral Management Program. Failure of Physician to obtain such prior authorizations when applicable shall constitute a material breach of this Agreement which shall entitle IPA, at its option, to terminate this Agreement under Paragraph 8(a) below.
Primary Care Physicians. For the purposes of this Agreement, "Primary Care Physicians" are those physicians whose prescribing practices indicate that the primary characteristic of such person's practice is that of a primary care physician regardless of whether such person claims to be, or is certified as, a General Practitioner, Family Practitioner, Internal Medicine, or another type of specialist.
Primary Care Physicians means physicians practicing in family medicine, geriatrics, general internal medicine, general pediatrics, obstetrics/gynecology, or emergency medicine. [63:1-2721 (A)(2)]

Related to Primary Care Physicians

  • Primary care physician means a physician qualified to be an attending physician according to ORS 656.005(12)(b)(A) and who is a general practitioner, family practitioner, or internal medicine practitioner.

  • 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.

  • Primary caregiver or "caregiver" means a resident of the State

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Primary care-giver means a person who assumes the principal role of providing care and attention to a child.

  • Licensed physician means a person licensed to practice

  • Primary care provider (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Primary care giver means a person who assumes the principal role of providing care and attention to a child.

  • Primary care services means the services in respect of which NHS England has a duty or power to make arrangements pursuant to the Primary Care Functions;

  • Family child care provider means a person who: (a) Provides

  • Authorized medical physicist means an individual who:

  • Supervising physician means any physician licensed under Iowa Code chapter 148, 150, or 150A. The supervising physician is responsible for medical direction of emergency medical care personnel when such personnel are providing emergency medical care.

  • Resident physician means a physician enrolled in an internship, residency or fellowship.

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Hospital means a facility that:

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Pharmacist means an individual licensed by this state to compound and dispense drugs, prescriptions, and poisons.

  • Medically necessary care means care that is (1) appropriate and consistent with and essential for the prevention, diagnosis, or treatment of a Patient’s condition; (2) the most appropriate supply or level of service for the Patient’s condition that can be provided safely; (3) not provided primarily