Referral Network. Provider agrees to work in accordance with METCARE's ____________________________(?). Except in cases of emergency, the Provider shall make no referral of a METCARE Member to another provider for Covered Services without prior approval of METCARE. Provider further agrees to comply with METCARE's request for reporting patient data and clinical information as required to provide reports to contracted HMOs or regulatory agencies, and facilitate METCARE internal quality improvement mechanisms for METCARE Members assigned to the Provider. METCARE, through its Medical Director and such other individuals as METCARE designates, will provide the Provider, either directly or through a contractor: (a) A system for getting prior approval (authorization) of all referrals and written notification of Denied Claim Forms or Covered Services; (b) A system for pre-admission certification for all elective hospital procedures or admissions; (c) A Member encounter reporting process to be implemented in accordance with METCARE's administrative policies and procedures; PHYSICIAN PRACTICE MANAGEMENT PARTICIPATION AGREEMENT
Referral Network. ZPCT collaborates with DHOs to facilitate initiation of referral networks in districts where ZPCT is supporting HIV/AIDS care and treatment services. To date, a total of 27 referral networks have been established and eight are in various stages of development. During the reporting period, Kabwe referral network continued data inputting in the established database to monitor and report on referral activities. The functionality of the Kabwe referral network database will continue to be monitored and reviewed to determine whether it can be adapted for use by other networks. The DHOs lead the referral review meetings. ZPCT works with the DHOs to help strengthen the coordinating units’ role in resource mobilization for the functionality of the networks. The network members review the referral systems in place and identify ways to strengthen activities such as provision of feedback and documentation of referrals by community based organizations. In Central, Copperbelt, Northern, and North Western Provinces, Neighborhood Health Committees (NHCs) continue to work with health facilities to refer clients as part of their routine community- based activities. However, the distance between the facility and district that NHCs represent is a challenge. It may not be feasible to have all the NHCs represented at the district level referral network. In Kasama, health facilities have continued using the district referral network form for internal facility referrals. At the ART clinics where the DECs are placed, there has been an improvement in the documentation of referral of clients from PMTCT to ART. This has resulted in the strengthening of the intra/internal referrals and monitoring of HIV-infected pregnant women accessing the ART clinic. The Mansa district-wide referral network and the facility based referral network established at Chembe RHC have continued collaborating within their areas of operation. The network members have been referring clients for the required services and are receiving constructive feedback. The Mansa district-wide referral network is facing a challenge in inconsistent meetings because the district referral focal person from DHO has taken up other responsibilities within the Luapula province. In addition, traditional Healers Practitioners Association of Zambia (THPAZ) Mansa Branch involvement is still critical in enhancing community partnership with traditional healers within the network. A detailed list of the ZPCT supported referral networks i...
Referral Network. Safe Auto and Safelite agree that Safelite will offer referrals of the insureds of Safe Auto to participants in Safelite's referral network under the program contemplated by this Agreement at the prices set forth in ATTACHMENT 2.5, as may be modified from time to time at the sole discretion of Safe Auto.
Referral Network. GLOBAL agrees that it will exert its best efforts to assist with the development of a client referral network between the Territory and the United States and other parts of the world in which the CENTURY 21 System operates.
Referral Network. The Agency will make every effort to provide assistance in response to requests by FNEFL or other cooperative food providers, who may make referrals of needy individuals. Agency will participate in FNEFL referral network, by providing contact information as requested by needy individuals.
