What Is Network Provider?
A healthcare provider (doctor, hospital, pharmacy) that has a contract with a health insurance plan to deliver services at negotiated rates, typically requiring lower cost-sharing than out-of-network providers.
Network Provider across 2 exams
Network Provider appears on the following exams. Each defines it in the context candidates are tested on:
- Health Insurance
- A healthcare provider (doctor, hospital, pharmacy) that has a contract with a health insurance plan to deliver services at negotiated rates, typically requiring lower cost-sharing than out-of-network providers.
- Health-Only Insurance
- A healthcare provider (doctor, hospital, clinic) that has contracted with an insurance company to provide services at negotiated rates. Using in-network providers typically results in lower out-of-pocket costs for the insured.