What does a Provider Network consist of?

A Provider Network consists of a group of healthcare providers who have entered into contracts with health insurers to provide services to members at a negotiated rate. These providers can include physicians, specialists, hospitals, and other healthcare facilities. The main goal of establishing a Provider Network is to create a structured system where patients can receive care while helping insurers manage costs and ensure quality of care through partnerships with a selected group of providers.

This definition focuses on the collaborative relationships between insurers and healthcare providers, which helps streamline service delivery and improve patient access to medical services. Having contracted providers allows the insurance company to control costs while also providing members with a variety of choices for their healthcare needs.