CREDENTIALS APPLICATION Clause Samples
CREDENTIALS APPLICATION. Within sixty (60) days of request by MCO's Board of Directors, Hospital shall provide MCO with a completed MCO Credentials Application, on a form approved for that purpose by MCO, which completed form shall be incorporated by reference in and made a part of this Agreement. Hospital hereby agrees to notify MCO of any and all material changes in the information contained in Credentials Application within ten (10) days of such change, unless this Agreement expressly adopts a different notice provision in another context.
CREDENTIALS APPLICATION. The Foundation Provider Credentials Application is included herein as Exhibit 1 to this Addendum A. Provider shall be responsible for completing the Credentials Application in its entirety for itself and/or every Facility rendering Contracted Services under this Agreement, unless Provider's Credentials Application meets Foundation's requirements. Addendum A, Exhibit 1 EXHIBIT 1 TO ADDENDUM A CREDENTIALS APPLICATION (SEE ATTACHMENT) Addendum B ADDENDUM B TO FACILITY PROVIDER AGREEMENT HMO AND POINT OF SERVICE BENEFIT PROGRAMS Provider understands and agrees that the obligations of Foundation set forth in this Addendum are the obligations Foundation Health, a California Health Plan, an Affiliate of Foundation Health Corporation ("FHC"), and not the obligations of FHC or any other Affiliate of FHC.
A. STANDARD HMO BENEFIT PROGRAMS -----------------------------
1. Fee-For-Service Contracted Services. Provider shall render ------------------------------------ Contracted Services to Beneficiaries of Foundation's Benefit Programs covered under this Addendum on a fee-for-service or per diem basis. As compensation for providing such Contracted Services, Provider shall be paid the rates set forth in Exhibit 1 of this Addendum. Such compensation shall be paid within 30 working days of Foundation's receipt of a complete and accurate claim for Contracted Services rendered to a Beneficiary. [OPTIONAL]