Primary Provider Law and Legal Definition

Primary provider in medical treatment terms is usually a general practitioner whom the patient selects from a list of approved general practitioners. If the patient suffers from a condition that might best be handled by a specialist rather than a general practitioner, the patient must nevertheless see the primary provider first and seek his permission to see the specialist. In other words, the primary provider is the "gate keeper" through which the patient must go in order to see the specialist.

In the insurance coverage context, primary provider refers to the medical expense plan that covers the benefits under this plan prior to any benefits being paid by another medical expense plan.