Common use of Hold Status Clause in Contracts

Hold Status. 5.1 If either party determines that the Dental Care Provider is approaching maximum capacity as set forth in Paragraph 2.6 of this Agreement, they may choose to close the Dental Care Provider to new enrollment in accord with the following: (a) If Dental Care Provider determines that the office is approaching maximum capacity, it may close the office to new enrollment upon thirty (30) days written notice to HMSA. SAMPLE (b) If HMSA reasonably determines that the Dental Care Provider has reached or exceeded its maximum allowable capacity, it may close the Dental Care Provider to new enrollment upon thirty (30) days written notice to the Dental Care Provider. (c) The hold shall remain in effect until Dental Care Provider has resolved any capacity problems to both parties' satisfaction, or until this Agreement is terminated under one of the provisions described in Article IX of this Agreement. 5.2 When a Dental Care Provider is placed on hold, he/she will be closed to all new enrollment with the following exceptions: (a) A Beneficiary currently enrolled with Dental Care Provider adds a Dependent to his/her coverage. (b) A terminated Beneficiary assigned to the Dental Care Provider reinstates coverage retroactively within sixty (60) days. 5.3 All holds will take effect on the first of the month following the notice periods as described herein.

Appears in 1 contract

Sources: Dental Independent Network Specialty Provider Agreement

Hold Status. 5.1 If either party determines that the Dental Care Provider is approaching maximum capacity as set forth in Paragraph 2.6 of this Agreement, they may choose to close the Dental Care Provider to new enrollment in accord with the following: (a) If Dental Care Provider determines that the office is approaching maximum capacity, it may close the office to new enrollment upon thirty (30) days written notice to HMSA. SAMPLE. (b) If HMSA reasonably determines that the Dental Care Provider has reached or exceeded its maximum allowable capacity, it may close the Dental Care Provider to new enrollment upon thirty (30) days written notice to the Dental Care Provider. (c) The hold shall remain in effect until Dental Care Provider has resolved any capacity problems to both parties' satisfaction, or until this Agreement is terminated under one of the provisions described in Article IX of this Agreement. 5.2 When a Dental Care Provider is placed on hold, he/she will be closed to all new enrollment with the following exceptions: (a) A Beneficiary currently enrolled with Dental Care Provider adds a Dependent to his/her coverage. (b) A terminated Beneficiary assigned to the Dental Care Provider reinstates coverage retroactively within sixty (60) days. 5.3 All holds will take effect on the first of the month following the notice periods as described herein.

Appears in 1 contract

Sources: Dental Independent Network Provider Agreement