Non-Administrator Provider definition

Non-Administrator Provider means a Provider that does not meet the definition of Administrator Provider unless otherwise specified in the definition of a particular Provider.
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Non-Administrator Provider means a Provider that does not meet the definition of Administrator Provider unless otherwise specified in the defi­ nition of a particular Provider.
Sample 1Sample 2Sample 3

Examples of Non-Administrator Provider in a sentence

  • For example, the Claim Administrator may pay benefits to you if you receive Covered Services from a Non-Administrator Provider.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Participating Provider facility payment level.DETOXIFICATIONCovered Services received for detoxification are not subject to the Substance Use Disorder Treatment provisions specified above.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Participating Provider facility payment level.

  • Non-Participating Provider or Non-Administrator Provider No benefits will be provided for wellness care received from either a Non-Participating Provider or a Non- Administrator Provider.

  • Covered Services rendered in a Non-Administrator Provider facility will be paid at the Non-Participating Provider facility payment level.BARIATRIC SURGERYBenefits for Covered Services received for bariatric Surgery will be provided under the HOSPITAL BENEFIT and PHYSICIAN BENEFIT sections of this benefit booklet, the same as for any other condition.

  • Preparatory secondary vocational education (vmbo) lasts 4 years and is intended for 12- to 16-year-olds.

  • Emergency Care With respect to all Plans: Benefits for Emergency Accident Care will be provided at the percentage of the Eligible Charge shown in the Schedule of Benefits for your plan of benefits when you receive Covered Services that meet the definition ofEmergency Accident Care from either a Participating, Non--Participating or Non-Administrator Provider in a Hospital emergency department.

  • Non-Administrator Provider When you receive Outpatient Hospital Covered Services from a Non-Administrator Provider, benefits will be provided at the same payment level which would have been paid had such services been received from a Non- Participating Provider.

  • Substance Use Disorder Treatment Covered Services rendered in a program that does not have a written agreement with the Claim Administrator or in a Non-Administrator Provider facility will be paid at the Non-Administrator Provider facility payment level.DETOXIFICATIONCovered Services received for detoxification are not subject to the Substance Use Disorder Treatment provisions specified above.

  • IMPORTANT REMINDERIn order for you to receive benefits at the Participating Provider payment level following an emergency admission to a Non-Participating Provider Hospital or Non-Administrator Provider Hospital, you must transfer to a Participating Provider Hospital as soon as you are no longer in need of immediate medical attention for a medical condition with respect to which the absence of such immediate medical attention would likely result in serious and permanent medical consequences.

Related to Non-Administrator Provider

  • Non-Administrator Hospital means a Hospital that does not meet the definition of an Administrator Hospital.

  • Non-Administrator Dialysis Facility means a Dialysis Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with the guidelines established by Medicare.

  • XXXXX Administrator means the Bank of England (or any successor administrator of the Sterling Overnight Index Average).

  • Program Administrator means the person retained by the Wisconsin PACE Commission as provided in subsection (5)(b).

  • SOFR Administrator means the Federal Reserve Bank of New York (or a successor administrator of the secured overnight financing rate).

  • Term SOFR Administrator means CME Group Benchmark Administration Limited (CBA) (or a successor administrator of the Term SOFR Reference Rate selected by the Administrative Agent in its reasonable discretion).

  • Non-Administrator Coordinated Home Care Program means a Coordinated Home Care Program which does not have an agreement with the Claim Administrator or a Blue Cross Plan but has been certified as a home health agency in accordance with the guidelines established by Medicare.

  • Third Party Administrator (TPA means any organization or institution that is licensed by the IRDA as a TPA and is engaged by the Company for a fee or remuneration for providing Policy and claims facilitation services to the Insured / Insured Person as well as to the Company for an insurable event.

  • Settlement Administrator means the administrator proposed by the Parties and appointed by the Court to administer the Settlement.

  • payment service provider means a person whose business includes the provision of transfer of funds services;