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2 Section I Definitions ................................................................................................................ 3 Accountable Care Organization (ACO) ................................................................................... 3 Claims Adjudication/Payment ................................................................................................. 3 Health Care Services .

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Definition of medical service contracts. . A medical service contract refers to a contract whereby the medical institution is authorized or duty-bound to perform medical treat- ment, epidemic prevention, health care or medical inspection for patients.

These contracts establish a relationship between you and your patients for many aspects, such as: The type of care you will provide the patient. An outline of potential risks and benefits of a procedure. An agreement to be billed and pay for medical services.

A provider network is a list of doctors, other health care providers, and hospitals that a plan contracts with to provide medical care to its members. They're known as “network providers” or “in-network providers.” A provider that isn't contracted with the plan is called an “out-of-network provider.”

A contracted physician is one who sets his fees in ance with the terms of the agreement. In this case, you only make what is known as the co-payment, i.e. the difference between the amount refunded by the health insurance fund and the fees set under the agreement.

A provider contract is a document that represents the business relationship between a provider and a payor. A provider can be either an individual physician or a provider organization with multiple doctors on staff.

Contract Provider means any Person or any employee, agent or subcontractor of such Person who provides professional health care services under or pursuant to any contract with any Consolidated Party.

Contracted Service Provider means an individual or business that undertakes a contract or agreement with the City in order to perform a service on a continuing basis (e.g. Security Guard Services, Marriage Officiants, etc.).

No person or groups of persons may operate a health maintenance organization or issue a contract to an enrollee for membership in a comprehensive health services plan without first obtaining a certificate of authority from the commissioner.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232