Provider Network File Sample Clauses
Provider Network File. The provider file shall supply Network Provider data between an HMO and TDH. This process shall accomplish the following:
(1) Provide identifying information for all managed care providers (e.g. name, address, etc.).
(2) Maintain history on provider enrollment/disenrollment.
(3) Identify PCP capacity.
(4) Identify any restrictions (e.g., age, sex, etc.).
(5) Identify number and types of specialty providers available to Members.
