Provider Relations. A. Recognizing providers are the DCP Holding Company product - continually promote their skills, quality, cost-effectiveness and value to all public.
Provider Relations. 4.9.4.1 The Contractor shall establish and maintain a formal Provider relations function to timely and adequately respond to inquiries, questions and concerns from network Providers. The Contractor shall implement policies addressing the compliance of Providers with the requirements of GF, institute a mechanism for Provider dispute resolution and execute a formal system of terminating Providers from the network.
Provider Relations. The Health Plan shall establish and maintain a formal Provider relations function to timely and adequately respond to inquiries, questions and concerns from network Providers. The Health Plan shall implement policies addressing the compliance of Providers with the requirements of this Contract, institute a mechanism for Provider dispute resolution and execute a formal system of terminating Providers from the Health Plan’s network.
Provider Relations. 2.18.7.1 The CONTRACTOR shall establish and maintain a formal provider relations function to provide ongoing troubleshooting and education for contract providers.
Provider Relations. PA HRM shall assure that provider relations are managed to assure competent operation of the HC Program. PA HRM may select from among the Providers in the Provider Network only those Providers with whom PA HRM wishes to work. PA HRM shall not be obligated to use all Providers under contract to Oxford, but PA HRM may not terminate a Provider's Agreement without Oxford's consent. PA HRM shall not act in any manner to violate the terms of any Oxford Par Provider Agreement. PA HRM shall be authorized to enter into a pharmacy benefit management program agreement with ValueRX on or after the Effective Date to replace the existing agreement with PCS, subject to all required Regulatory Approvals from the State.
Provider Relations. TRI CO. will provide the following provider relations services: Make available to the providers the necessary provider applications and review them for completeness; recommend credentialing
Provider Relations. A. Submit policies and procedures for provider grievances.
Provider Relations. 4.9.5 TOLL-FREE PROVIDER SERVICES TELEPHONE LINE
Provider Relations. The Contractor shall maintain staff to perform provider relation functions to include; training providers in the Contractor's procedures for authorization and claims payments, assisting providers to resolve billing and other administrative problems and responding to provider complaints about administrative processes.
Provider Relations. 5 3.0 MEMBER SERVICES AND ENROLLMENT .................. 9 4.0
