Contracting Provider definition

Contracting Provider means any physician, health care professional, health care facility, or Contracting Pharmacy Provider that has contracted with CareFirst BlueChoice, Inc. to render Covered Services to Members. A Preferred Dentist who provides Covered Dental Services or a Contracting Vision Provider who provides Covered Vision Services is not a Contracting Provider for the purposes of this definition. Contracting Vision Provider means any optometrist or ophthalmologist licensed as such by the duly constituted authority in the jurisdiction in which Covered Vision Services are rendered when acting within the scope of such license and that has contracted with the Vision Care Designee to provide Covered Vision Services.
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Contracting Provider means any physician, health care professional, health care facility, or Contracting Pharmacy Provider that has contracted with CareFirst BlueChoice, Inc. to render Covered Services to Members. A Preferred Dentist who provides Covered Dental Services or a Contracting Vision Provider who provides Covered Vision Services is not a Contracting Provider for the purposes of this definition. Contracting Vision Provider means any optometrist or ophthalmologist licensed as such by the duly constituted authority in the jurisdiction in which Covered Vision Services are rendered when acting within the scope of such license and that has contracted with the Vision Care Designee to provide Covered Vision Services. Convenience Item means personal hygiene and convenience items, including, but not limited to; air conditioners, humidifiers, physical fitness equipment, elevators, ▇▇▇▇▇/stair lifts, ramps, shower/bath benches, and items available without a prescription. Copayment (Copay) means the fixed dollar amount that a Member must pay for certain Covered Services, Covered Dental Services or Covered Vision Services. Cosmetic means a service or supply which is provided with the primary intent of improving appearance, not restoring bodily function or correcting deformity resulting from disease, trauma, or previous therapeutic intervention, as determined by CareFirst BlueChoice.
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Contracting Provider means a physician or other health care
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Examples of Contracting Provider in a sentence

  • If the Member disagrees with a prescribed course of treatment, the Member shall be permitted to receive a second opinion from another Contracting Provider.

  • A Member must select a Primary Care Physician and may select any Primary Care Physician from CareFirst BlueChoice’s current list of Contracting Provider Primary Care Physicians.

  • A Member will receive benefits for the Covered Services listed below when admitted to a Contracting Provider hospital under the care of a Primary Care Physician or other Contracting Physician.

  • Durable Medical Equipment Rental, or, (at CareFirst BlueChoice’s option), purchase and replacements or repairs of Medically Necessary Durable Medical Equipment prescribed by a Contracting Provider for therapeutic use for a Member’s medical condition.

  • Diagnosis and treatment for Mental Illness and Emotional Disorders at Contracting Physician offices, other outpatient Contracting Provider medical offices and facilities, and in Qualified Partial Hospitalization Programs.


More Definitions of Contracting Provider

Contracting Provider means any medical group or medical organization, physician (also referred to herein as "Contracting Physician"), hospital (also referred to herein as "Contracting Hospital") and other health care providers, who have entered into a written agreement with Company to provide Covered Services to Members.
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Contracting Provider means any licensed physician who has contracted with a particular insurance company and is considered in-network.
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Contracting Provider means any Physician or Allied Health Professional who provides medical or health care services by and through the Practice as an independent contractor of VA, and does not include providers who contract with VA to provide Outside Provider Services.
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Contracting Provider means a physician or other health care provider PERSON who enters into an administrative service provider contract with a health maintenance organization.
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Contracting Provider means each licensed health care provider that is employed by or otherwise under contract with Provider to provide Eye Health Care Services to Enrollees hereunder.
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Contracting Provider means any physician, health care professional or health care facility that has entered into a contract with CareFirst BlueChoice to provide Covered Services to Members and has been designated by CareFirst BlueChoice as a Contracting Provider.
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Contracting Provider means a Hospital facility, health care facility, laboratory, person or other provider of medical services which has a written agreement with the HMO or PRACTICE at the time Covered Services are provided to Members.
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