Provider

Provider is a term used for health professionals who provide health care services. Sometimes, the term refers only to physicians. Often, however, the term also refers to other health care professionals such as hospitals, nurse practitioners, chiropractors, physical therapists, and others offering specialized health care services.

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Related Terms

Admitting Privileges
Benefit
Carrier
Certificate of Insurance
Claim
Co-insurance
Co-payment
Deductible
Denial of Claim
Dependents
Effective Date
Exclusions
Explanation of Benefits
Group Insurance
Health Maintenance Organizations (HMO)
HIPPA
In-network
Indemnity Health Plan
Individual Health Insurance
Length of Stay (LOS)
Lifetime Maximum Benefit
Limitations
Long-term Care Policy
Managed Care
Maximum Dollar Limit
Medigap Insurance Policies
Network
Open-Ended HMO
Out-of-network (Out-of-plan)
Out-of-pocket Maximum
Outpatient
Pre-admission Certification
Pre-admission Review
Pre-admission Testing
Pre-existing Conditions
Preferred Provider Organizations (PPO)
Primary Care Provider (PCP)
Reasonable & Customary Fees
Rider
Second Opinion
Second Surgical Opinion
Short-term Disability
Short-term Medical
State Mandated Benefits
Stop-loss
Usual, Customary, & Reasonable (UCR) or Covered Expenses
Waiting Period

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