Participating physician

Participating physician

A primary care physician in practise in the payer's managed care service area who has entered into a contract.

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Part of Speech: noun
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Industry/Domain: Health care
Category: General
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Related terms

participating physician

Health care; General

A primary care physician in practice in the payer's managed care service area who has entered into a contract.

participating physician

Health care; Insurance; Managed care; Health insurance

A physician who signs a participation agreement to accept assignment on all Medicare claims for 1 year. A primary care physician in practice in the payer’s managed care service ...

participating physician or participating provider

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Simply refers to a provider under a contract with a health plan. A physician or hospital that has agreed to provide services for a set payment provided by a payer, or who agrees ...

participating physician or provider

Health care; General

Healthcare providers who have contracted with a managed care plan to provide eligible healthcare services to members of that plan.

non-participating physician (or provider)

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A provider, doctor or hospital that does not sign a contract to participate in a health plan, usually which requires reduced rates from the provider. In the Medicare Program, this ...

participating physician or supplier

Insurance; Medicare & Medicaid

A doctor or supplier who agrees to accept assignment on all Medicare claims. These doctors or suppliers may bill you only for Medicare deductible and/or coinsurance amounts.

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