Provider Services Clause Samples

Provider Services. The Contractor’s system shall collect, process, and maintain current and historical data on program providers. This information shall be accessible to all parts of the MCMIS for editing and reporting.

Provider Services. 5.1 When you inform us of your intention to submit a Booking to us: 5.1.1 we will make available to you such of the relevant Provider Terms as are available to us in respect of each Provider that will be providing Provider Services for that Booking (including standard airline booking terms at ▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/e-ticketnotice/England/English.htm 5.1.2 from time to time, we may be able to make available to you Provider Terms in full in advance; and 5.1.3 we will provide to you any cancellation and amendment information that is available to us from the Provider in respect of that Booking. In submitting any Booking to us, you acknowledge that a full copy of the relevant Provider Terms may not be available until Issue or afterwards, but that you agree to accept and comply with those Provider Terms as appropriate. We shall not have any Liability (subject to Clause 9.2) in respect of any Provider Terms, including any failure by you or the relevant Provider to comply with the relevant Provider Terms or to honour the terms of any Booking. 5.2 You will receive no representations or warranties in respect of the Provider Services except those contained in the relevant Provider Terms. 5.3 For the avoidance of doubt, we accept Liability in accordance with Clause 9 in respect of the Service only. Your access to, and the availability of, Provider Services, and your presence in or on any transport or premises, or receipt of any Provider Services, is subject to the relevant Provider Terms. 5.4 You shall indemnify us against all liabilities, costs, expenses, damages and losses (including any direct, indirect or consequential losses, loss of profit, loss of reputation and all interest, penalties and legal costs (calculated on a full indemnity basis) and all other professional costs and expenses) suffered or incurred by us arising out of or in connection with: 5.4.1 any breach, negligent performance or non-performance by you or the Provider of any Provider Terms or the Provider Services; 5.4.2 any amendment, cancellation, or failure by you to arrive at the appropriate place and time for receipt, of the Provider Services; and/or 5.4.3 any claim made against us by any third party arising out of the Provider Services in respect of which you have submitted to us a Booking. This indemnity shall apply whether or not we have been negligent or at fault. 5.5 You acknowledge that, in confirming a Booking, there is no guarantee of availability for the Provider Services in q...

Provider Services. 6.1 The TOP contractor shall ensure that all purchased care sector network providers and their support staff have sufficient understanding of the applicable TRICARE program requirements, policies, and procedures to allow them to carry out the requirements of this contract in an efficient and effective manner that promotes beneficiary satisfaction. 6.2 The TOP contractor shall have the responsibility for developing and delivering TRICARE Program information to purchased care sector providers. The contractor shall determine the requirements for printed products and will develop and deliver these products after obtaining approval from the Government. The information in these products will generally be determined by the contractor based on their understanding of the needs of their network providers; however, the Government may mandate the inclusion of certain topics or information. 6.3 Provider education materials shall include information regarding claims processing procedures, claims submission deadlines, and normal claims processing time lines. 6.4 The Government shall ensure provider satisfaction with contractor-provided information by conducting random satisfaction surveys of select network providers.

Provider Services. ‌ Contractor shall establish and monitor performance standards for provider service functions. As part of its Provider Services function, Contractor shall have an ongoing program of provider education concerning the benefits and the needs of the member population covered under this Attachment. The provider education program shall include a quarterly provider newsletter and shall communicate, at least annually, changes in benefits, member’s rights and responsibilities. Contractor will have a Provider Services a toll-free telephone line that operates at least during normal business hours to provide assistance to providers concerning: • RIte Smiles member eligibility status, • Covered benefits, • Claims submission and payment procedures, • Prior authorization and referral, where allowable under State Medicaid policy, • Provider complaints, • Care management and • Cultural Competency Contractor will make available a Provider Relations Representative who will provide face-to- face, facility-based assistance and training when necessary. The Provider Relations Representative will be based either in Rhode Island or in New England and must be readily accessible to meet the needs of the RIte Smiles providers in a timely manner. Contractor shall require providers to report any changes in address or telephone numbers at least thirty (30) days prior to the change occurring.

Provider Services. In connection with your use of the Services and as part of the functionality of the Services as may be applicable, you may have access to certain online services or information that may be made available by your bank and/or other third party provider(s) ("Provider Services"), including online banking, online payment, online investment account download, online bill pay, online trading, and other account information available from third party provider(s). The Services may be designed to allow access to Provider Services (if and to the extent provided by users’ provider(s)) to set up banking and other information, schedule the Services to access user account(s), download transactions into the Services and otherwise aggregate information from user account(s) with third party provider(s). MX has no control over the provision of Provider Services or provision of access to the Provider Services by users’ provider(s). MX does not guarantee the Provider Services. You agree that you may be able to use the Services in conjunction with the Provider Services, and that MX disclaims any and all liability whatsoever for any actions or inactions on the part of your provider(s) resulting in any inability to use the Services to access accounts, obtain data, download transactions, or otherwise use or access the Provider Services. You acknowledge and agree when you access data and information through the Services, third party provider account access number(s), password(s), security question(s) and answer(s), account number(s), login information, and any other security or access information, and the actual data in your user account(s) with such provider(s) such as bank and other account balances, credit card charges, debits and deposits as may be applicable (collectively, "Provider Account Data"), may be collected and stored in the Services. You expressly authorize MX and our third party providers, in conjunction with the operation and hosting of the Services, to use certain Provider Account Data to (i) collect Provider Account Data, (ii) reformat and manipulate such Provider Account Data, (iii) create and provide hypertext links to provider(s), (iv) access the providers' websites using Provider Account Data, (v) update and maintain account information,

Provider Services. Provider hereby offers to perform, at the request of SCS, ACT/SAT test preparation services and to provide the materials necessary for test preparation. Provider shall also provide professional development services. Provider understands that, by executing this Agreement, SCS makes no promises or representations whatsoever as to the frequency or dollar amount of business Provider can expect at any time during the term of this Agreement.

Provider Services. Provider agrees to provide Medical Director (“SERVICES”) to the residents of Valley Hi Nursing Home, located at ▇▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇, ▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (“FACILITY”) in accordance with all applicable requirements of Federal, State, or local laws, rules, and/or regulations to include official interpretations of those requirements by the entities charged with implementing and enforcing them. PROVIDER will perform its services in accordance with accepted professional standards of practice and use only qualified duly licensed, certified, or registered health care professionals in the performance of these services. PROVIDER understands and agrees that this agreement is subject to the rights of FACILITY residents, residents’ insurers or payers, and the residents’ physicians to choose services from another provider. PROVIDER agrees to be responsible for the overall coordination of medical care at FACILITY. Coordination of care means PROVIDER shares responsibility for assuring FACILITY is providing appropriate care as required, which involves monitoring and ensuring implementation of resident care policies and provide oversight and supervision of physician services and medical care of residents. PROVIDER agrees to evaluate and tale appropriate steps to correct any problems associated with the possible inadequate care PROVIDER identifies or about which PROVIDER receives a report. PROVIDER agrees to consult with residents or their attending physicians as needed to ensure adequate care is being provided. In an emergency, PROVIDER will be called to advise FACILITY concerning the care of a resident whose attending physician is not available. PROVIDER shall abide by applicable FACILITY policies and procedures, respond to FACILITY requests for services in a timely manner, and provide accurate and timely documentation to FACILITY of services provided to FACILITY residents. PROVIDER will participate, as requested, in personnel evaluations and other quality monitoring programs established by FACILITY including periodic attendance at FACILITY Quality Assurance Committee meetings. MEDICAL DIRECTOR will report directly to FACILITY Administrator and will not have authority to hire, fire, or discipline FACILITY employees. MEDICAL DIRECTOR also agrees to the following: a. To visit the FACILITY at least one time per month b. To serve as attending physician or actively assist FACILITY in identifying an attending physician for all new residents in which primary care is not available c....

Provider Services. Health Plan will maintain a Provider Manual describing Health Plan’s policies and procedures, Covered Services, limitations and exclusions, and coordination of benefits information. Health Plan will maintain a Provider Services Department available to educate Provider regarding Health Plan’s policies and procedures.

Provider Services. Dental hygienist can provide full scope of dental hygiene practice services allowed under general supervision in the private office, including prophylaxis, root planing, curettage, sealants and fluoride.