Provider of Service definition

Provider of Service means any Practitioner or professional person, acute care hospital organization, health facility, ancillary Provider, or other person or institution licensed by the State to deliver or furnish health care services directly to the Member.
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Provider of Service means any Provider of professional person, acute care hospital organization, health facility, ancillary Provider, or other person or institution licensed by the State to deliver of furnish health care services directly to the Member.
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Examples of Provider of Service in a sentence

  • Direct Payment to the Provider of Service (where applicable)Provide your GSC Identification number to your provider and, after you pay any applicable co-payment, they may bill GSC directly and in many cases, payment will be made directly to your provider of service.

  • The Provider of Service is notified if the resolution will be delayed beyond established timeframes.

  • Under no circumstances can a Provider deny service to a Member for non-payment of a missed appointment charge or other charges to Member when they were not an eligible IEHP Member.D. Provider of Service cannot charge or collect payments at anytime for filling out any of the following forms or required medical documentation:1.

  • Part A and C apply if Boge act as Provider of Service and its business partner as Recipient of Service or customer.

  • Alternate Physician or Professional Provider of Service: The Resident and Responsible Party agree that if the physician or any other professional provider of service designated by the Resident or Responsible party is not available to serve the Resident, fails to serve the Resident, or fails to comply with any applicable provision of federal or state law, the Facility is authorized to obtain the services of a substitute physician or professional provider of service.

  • Referrals to collection agency.G. If the Provider of Service continues to charge a Member in violation of this policy after being notified to stop, or sends the Member’s account to a collections agency, IEHP reserves the right to inform the DMHC, DHCS or other regulatory agencies of the violation.

  • A Provider of Service may withdraw an appeal and/or grievance at any time by notifying the Payor in writing.

  • IEHP resolves the appeal and/or grievance by considering all available information and may request additional information, discuss the issue with the involved Provider of Service and/or Payor, or present the issue to the Peer Review Subcommittee or QM Committee for input.

  • If the Member is not eligible with IEHP for the date of service, the request is rejected and a denial letter is issued to the Provider of Service explaining the reason for the rejection.

  • If an appeal and/or grievance is incomplete, or if the information is in the possession of the Provider of Service and not readily accessible to the Payor, the Payor may return the appeal and/or grievance with a clear explanation, in writing, of any information missing that is necessary to resolve the appeal and/or grievance.

Related to Provider of Service

  • Level of service has the meaning set forth in Section 2.02(c).

  • Period of Service means the aggregate of all periods of service commencing with an Employee's first day of employment or reemployment with the Employer or an Affiliated Employer and ending on the first day of a Period of Severance, or for benefit accrual purposes, ending on the severance from service date. The first day of employment or reemployment is the first day the Employee performs an Hour of Service. An Employee who incurs a Period of Severance of twelve (12) months or less will also receive service-spanning credit by treating any such period as a Period of Service for purposes of eligibility and vesting (but not benefit accrual). For purposes of benefit accrual, a Participant's whole year Periods of Service is equal to the sum of all full and partial periods of service, whether or not such service is continuous or contiguous, expressed in the number of whole years represented by such sum. For this purpose, fractional periods of a year will be expressed in terms of days.

  • Provider Service means a Provider’s hosted online services (if any) as described in the Solution Exhibit which is provided by Provider to Customers located in the Territory through remote access via the Internet as part of the BPO Service. A Provider Platform Application shall be considered a Provider Service.

  • Testing service means a national testing service selected by the board.

  • Class of Service means the various categories of service generally available to customers, such as business or residence.

  • Out of service means that process established under the motor carrier safety act of 1963, 1963 PA 181, MCL 480.11 to 480.25.

  • Terms of Service means those Support Services and Professional Services terms posted at xxxx://xxx.XXXXXXX.xxx/terms-of-service/, which are incorporated herein. Client acknowledges and agrees it has read, understands and agrees to be bound by the Terms of Service.

  • contract of service means any agreement, whether oral or in writing and whether express or implied, whereby one person agrees to employ another as an employee and that other agrees to serve his employer as an employee and includes an apprenticeship contract;

  • Hour of Service means:

  • Denial of Service Attack means an attack intended by the perpetrator to overwhelm the capacity of a "computer system" by sending an excessive volume of electronic data to such "computer system" in order to prevent authorized access to such "computer system".

  • Years of Service means the total number of full years in which a Participant has been employed by one or more Employers. For purposes of this definition, a year of employment shall be a 365 day period (or 366 day period in the case of a leap year) that, for the first year of employment, commences on the Employee's date of hiring and that, for any subsequent year, commences on an anniversary of that hiring date. Any partial year of employment shall not be counted.

  • In-service means an educational program, which is designed to increase the knowledge, skills, and overall effectiveness of personnel.

  • Date of Service means the date on which the client receives medical services or items, unless otherwise specified in the appropriate provider rules. For items that are mailed or shipped by the provider, the date of service is the date on which the order was received, the date on which the item was fabricated, or the date on which the item was mailed or shipped.

  • Education service provider means an education management organization, school

  • Internet Service Provider (ISP) means an Enhanced Service Provider (ESP) that provides Internet Services.

  • COMMENCEMENT OF SERVICE means the actual date of placement of the first Vehicle(s) under this Agreement.