MLchartDataset catalogue

Participating provider

Term · Insurance and risk management · MLC-T-INS-002498

A healthcare professional, hospital, or facility that has a contractual agreement with an insurance plan or managed care organization. These providers agree to accept the insurer's negotiated rates as payment in full for services rendered to plan members. Patients using participating providers generally incur lower out-of-pocket costs, such as reduced co-payments or deductibles, compared to using out-of-network providers.

Table 1. Record
IdentifierMLC-T-INS-002498
FieldInsurance and risk management
Record as JSON 
{
  "id": "MLC-T-INS-002498",
  "term": "Participating provider",
  "field": "Insurance and risk management",
  "definition": "A healthcare professional, hospital, or facility that has a contractual agreement with an insurance plan or managed care organization. These providers agree to accept the insurer's negotiated rates as payment in full for services rendered to plan members. Patients using participating providers generally incur lower out-of-pocket costs, such as reduced co-payments or deductibles, compared to using out-of-network providers.",
  "url": "https://mlchart.com/terminology/insurance/participating-provider/"
}

Record 2,523 of 3,748 in Insurance and risk management terminology (MLC-0106). Request the full dataset.