Common use of Non-Participating Providers Clause in Contracts

Non-Participating Providers. 1. The Contractor shall pay for services furnished by non-participating providers to whom an enrollee was referred, even if erroneously referred, by his/her PCP or network specialist. Under no circumstances shall the enrollee bear the cost of such services when referral errors by the Contractor or its providers occur. It is the sole responsibility of the Contractor to provide regular updates on complete network information to all its providers as well as appropriate policies and procedures for provider referrals.

Non-Participating Providers. 1. The Contractor contractor shall pay for services furnished by non-participating providers to whom an enrollee was referred, even if erroneously referred, by his/her PCP or network specialist. Under no circumstances shall the enrollee bear the cost of such services when referral errors by the Contractor contractor or its providers occur. It is the sole responsibility of the Contractor contractor to provide regular updates on complete network information to all its providers as well as appropriate policies and procedures for provider referrals.

Non-Participating Providers. 1. The Contractor contractor shall pay for services furnished by non-participating providers to whom an enrollee was referred, even if erroneously referred, by his/her PCP or network specialist. Under no circumstances shall the enrollee bear the cost of such services when referral errors by the Contractor contractor or its providers occur. It is the sole responsibility of the Contractor contractor to provide regular updates on complete network information to all its providers as well as appropriate policies and procedures for provider referrals.

Non-Participating Providers. 1. The Contractor contractor shall pay for services furnished by non-participating providers to whom an enrollee was referred, even if erroneously referred, by his/her PCP or network specialist. Under no circumstances shall the enrollee eurollee bear the cost of such services when referral errors by the Contractor contractor or its providers occur. It is the sole responsibility of the Contractor contractor to provide regular updates on complete network information to all its providers as well as appropriate policies and procedures for provider referrals.