nonparticipating provider
Defined in 1 dictionary — U.S. Code
United States Code
26 U.S.C. § 9816 — in this subchapter
The term "nonparticipating provider" means, with respect to an item or service and a group health plan, a physician or other health care provider who is acting within the scope of practice of that provider's license or certification under applicable State law and who does not have a contractual relationship with the plan or issuer, respectively, for furnishing such item or service under the plan.
26 U.S.C. § 9817 — for purposes of this section
The term "nonparticipating provider" has the meaning given such term in section 9816(a)(3).
29 U.S.C. § 1185e — in this subpart
The term "nonparticipating provider" means, with respect to an item or service and a group health plan or group health insurance coverage offered by a health insurance issuer, a physician or other health care provider who is acting within the scope of practice of that provider's license or certification under applicable State law and who does not have a contractual relationship with the plan or issuer, respectively, for furnishing such item or service under the plan or coverage, respectively.
29 U.S.C. § 1185f — for purposes of this section (2 versions over time)
The term “nonparticipating provider” has the meaning given such term in section 1185e(a)(3) of this title.
42 U.S.C. § 300gg-111 — in this part
The term "nonparticipating provider" means, with respect to an item or service and a group health plan or group or individual health insurance coverage offered by a health insurance issuer, a physician or other health care provider who is acting within the scope of practice of that provider's license or certification under applicable State law and who does not have a contractual relationship with the plan or issuer, respectively, for furnishing such item or service under the plan or coverage, respectively.
42 U.S.C. § 300gg-112 — for purposes of this section (2 versions over time)
The term “nonparticipating provider” has the meaning given such term in section 300gg–111(a)(3) of this title.
42 U.S.C. § 300gg-132 — in this section (2 versions over time)
The terms “nonparticipating provider” and “participating provider” have the meanings given such terms, respectively, in subsection (a)(3) of section 300gg–111 of this title.