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Definition: A medical provider that has an agreement with a health plan to accept their patients at a previously agreed upon rate for payment.
In conclusion, contracted providers are healthcare professionals or facilities that have an agreement with an insurance company to provide services at a discounted rate, while non-contracted providers do not have an agreement with an insurance company.
Contract Service Provider means a third party with which Licensee enters into a written agreement pursuant to and solely to the extent permitted by Section 2C for the provision of specific services in support of Licensees development or of one or more Products on behalf of Licensee or its Collaborator.
In BRIM(Hybris Billing), usually the provider contract is created when a provider order is submitted in CRM. This CRM provider contract then replicated to the CI(convergent Invoicing) in FICA and also to the CC(convergent charging) system.
A service provider is any person or company that processes personal information on a businesss behalf pursuant to a written contract, provided that contract meets specific requirements.
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