Provider network definition

Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;
Provider network means an affiliated group of varied health care providers
Provider network means a group of health care providers formed to provide health care services to individuals.

Examples of Provider network in a sentence

  • The following actions may result in disciplinary action, including but not limited to immediate suspension of the contract pending investigation, immediate termination of this contract, and dis-enrollment from the Part C Provider Network.

  • No benefits are payable for services rendered outside the Bupa Essential Provider Network, except as specified under the condition for Emergency Medical Treatment.

  • The Bupa Essential Care policy provides coverage within the Bupa Essential Provider Network only, regardless of whether the treatment takes place in the insured’s country of residence or outside the insured’s country of residence.

  • The Contractor’s credentialing policies and procedures, if amended, including demonstration to EOHHS that all Providers within the Contractor’s Provider Network are credentialed according to such policies and procedures in accordance with Section 2.5.B.1.

  • The list of hospitals and physicians in the Bupa Essential Provider Network is available from USA Medical Services or online at xxx.xxxxxxxxx.xxx, and may change at any time without prior notice.


More Definitions of Provider network

Provider network means an affiliated group of varied health care providers that is
Provider network means an entity that negotiates directly or indirectly with a discount medical plan organization on behalf of more than one provider to provide medical or ancillary services to members.
Provider network means those providers who have entered into a contract or agreement with the plan under which such providers are obligated to provide items and services to eligible individuals enrolled in the plan;
Provider network means an entity created pursuant to part 3 of article 18 of title 6, C.R.S., or any functionally equivalent entity formed under any subsequently enacted statute of this state.
Provider network means an entity that negotiates directly or indirectly with a
Provider network means a health benefit plan under which health care services are provided to enrollees through contracts with health care providers and that requires those enrollees to use health care providers participating in the plan and procedures covered by the plan. The term includes a network operated by:
Provider network means a health service intermediary other than an MCO that facilitates transactions between medical providers and insurers through a series of contractual arrangements.