Contracted Provider. In accordance with Section 1300.67.4(a)(10) of the California Code of Regulations, if one of Oscar’s contract health care providers terminates its contract with Oscar, Oscar will be liable for Covered Services rendered by such provider (other than for copayments and coinsurance) to a Member who retains eligibility under the Group Health Plan or by operation of law under the care of such provider at the time of such termination until the services being rendered to the Member by such provider are completed, unless Oscar makes reasonable and medically appropriate provision for the assumption of such services by a contracting provider
Contracted Provider. In accordance with Section 1300.67.4(a)(10) of the California Code of Regulations, if one of Oscar’s contract health care providers terminates its contract with Oscar, Oscar will be liable for Covered Services rendered by such provider (other than for copayments and coinsurance) to a Member who retains eligibility under the Group Health Plan or by operation of law under the care of such provider at the time of such termination until the services being rendered to the Member by such provider are completed, unless Oscar makes reasonable and medically appropriate provision for the assumption of such services by a contracting provider Dispute Resolution. If a dispute between the Group Health Plan contract holder and Oscar concerning the Group Health Plan cannot be resolved by the parties, the dispute will be resolved by arbitration in accordance with the commercial arbitration rules of the American Arbitration Association then in effect. Such arbitration may be initiated by any party by making a written demand for arbitration on the other party within 30 days of the time the dispute arises. Within 30 days of that demand, the parties will designate an arbitrator and give written notice of such designation to the other. The two arbitrators selected by this process will select a third arbitrator and give notice of the selection to Us and You. The three arbitrators will hold a hearing and decide the matter within 30 days thereafter. The results of the arbitration will be final and binding on both parties. Judgment upon and award rendered by the arbitrators may be entered in any court having jurisdiction thereof. Each party will pay the fee of the arbitrator it chooses, and the parties will share equally the fee of the third arbitrator. The requirements of this Section shall survive termination of the Group Health Plan.
Contracted Provider. It is recorded that the Contracted Provider will be subject to the provisions, terms and conditions of this Agreement, the Registration Agreement between a participating provider and the IPA Foundation and more specifically to Clause 3 thereof, as well as the Scheme Rules of MEDSHIELD including but not limited, to the provisions more specifically listed below:
Contracted Provider. A person licensed as a psychiatrist, psychologist, clinical social worker, marriage, family and child counselor, nurse or other licensed health care professional with appropriate training and experience in behavioral health services, and who has contracted with HPCC to deliver specified services to HPCC Enrollees.
Contracted Provider. In accordance with 28 CCR 1300.67.4(a)(10), if one of CCHP’s contract health care providers terminates its contract with CCHP, CCHP will be liable for covered services rendered by such provider (other than for Member Cost Share) to a Member who retains eligibility under the Health Plan or by operation of law under the care of such provider at the time of such termination until the services being rendered to the Member by such provider are completed, unless CCHP makes reasonable and medically appropriate provision for the assumption of such services by a contracting provider.
Contracted Provider. The term "Contracted Provider” shall mean a Contracted Physician, Contracted Hospital, Contracted Medical Group or other licensed health facility or health professional which has entered into an agreement with HPSM to provide Covered Services to HPSM Members.
Contracted Provider. A person licensed as a psychiatrist, psychologist, clinical social worker, marriage and family therapist, nurse, or other licensed health care professional with appropriate training and experience in behavioral health services, and who has contracted with Xxxxxx to deliver specified services to Xxxxxx enrollees.
