Physicians, hospitals or other providers of medical services that have agreed to participate in a network, to offer their services at negotiated rates and to meet other contractual provisions. Also known as a "participating provider."
A health care provider (such as a physician, dentist, hospital, or laboratory) that enters into a contract with the health plan to provide care at a specified, discounted rate. Typically, the plan options pay more when you receive treatment from a network provider.
Any health care provider who has contracted with the health plan to provide services and abide by health plan policies and whose services are allowed by the plan. In the case of Ohio Med, enrollees receive maximum reimbursement and some additional benefits when they use network providers.
A provider who has agreed to accept pre-set amounts in payment for services to enrolled members of a health care plan. Depending upon the type of health care plan, people may seek care only from a provider in a network, or will face higher costs or no reimbursement for services sought by a non-network provider.