Definitions for "Participating Provider"
A health care provider who has a contractual arrangement with a health care service contractor, HMO, PPO, IPA or other managed care organization.
A provider who has contracted with a health plan to provide medical services to members. The provider may be a hospital, pharmacy, other facility, or a physician who has contractually accepted the terms and conditions set forth by the health plan.
A participating physician or specialist under contract with the HMO.