Definitions for "Network Provider"
Related Terms:
Out-of-network provider, Out-of-network services, Provider network, Preferred provider network, In-network provider, Participating provider, Preferred provider organization, Non-participating provider, Ppo, Network, Exclusive provider organization, Nonparticipating provider, Health maintenance organization, Preferred provider, Out-of-network, Point of service plan, In-network, Hmo, Participating physician, Point-of-service plan, Epo, Closed panel, Preferred provider organizations, Health maintenance organizations, Point-of-service, Dhmo, Dental health maintenance organization, Individual practice association, Managed care plan, Point of service, Medicare hmo, Preferred provider organization plan, Independent practice association, Php , Managed care plans, Out-of-network care, Fee-for-service plan, Managed care organization, Medicare managed care plan, Prepaid health plan, Staff-model hmo, Carve-out, Original medicare, Covered entity, Disenroll, Alternative delivery systems, Part b, Managed care, Medicare part b, Health plan
Network Provider means an OASD, a TrSD or a PSD.
Physician, hospital or other health care professional who has agreed to participate in a network. Also called "participating provider".
See also Participating provider
Physicians, hospitals or other providers of medical services that have agreed to participate in a network, to offer their services at negotiated rates and to meet other contractual provisions. Also known as a "participating provider."
A doctor, hospital or other healthcare provider who has entered into an agreement with GHI to provide healthcare services to members for a negotiated rate of reimbursement.
A health care provider (such as a physician, dentist, hospital, or laboratory) that enters into a contract with the health plan to provide care at a specified, discounted rate. Typically, the plan options pay more when you receive treatment from a network provider.
Any health care provider who has contracted with the health plan to provide services and abide by health plan policies and whose services are allowed by the plan. In the case of Ohio Med, enrollees receive maximum reimbursement and some additional benefits when they use network providers.
a doctor (nurse practitioner, lab, etc
a doctor or hospital who's made an arrangement with us to provide services at a discounted rate
a healthcare professional who has signed an agreement with TRICARE stating, among other things, to accept assignment of benefit or the TRICARE Maximum Allowable Charge as payment in full
A provider that is within the approved network for a particular health plan. See Preferred Provider Organization.
A healthcare professional or facility that is part of the managed care organizationâ€(tm)s (MCO's) network and has a contractual arrangement to provide services to the MCOâ€(tm)s covered members.
Is any professional, supplier of health care services, hospital, or medical facility having an arrangement to provide health services to AdvantageCare members in their service area.
A provider who has agreed to accept pre-set amounts in payment for services to enrolled members of a health care plan. Depending upon the type of health care plan, people may seek care only from a provider in a network, or will face higher costs or no reimbursement for services sought by a non-network provider.
In X.25 communications, the organization, often a PTT, that provides a public network.
The dentists and other providers that are in the network of the dental plan.