Provider Contracting a. contracting with health care providers or soliciting such contracts in areas contiguous to the Plan's Service Area in order to serve its subscribers or those of such licensed Controlled Affiliates residing or working in its service area;
Provider Contracting. The INSURER will assure that all hospitals facilities, doctors, dentists, and all health care providers are appropriately licensed and in good standing with all their governing bodies and accrediting agencies and meet all practice requirements established by law, the Department of Health, the ADMINISTRATION and other governing agencies, as described in the INSURER's Proposal. The ADMINISTRATION may review participating provider credentials at any time and submit its findings to the INSURER for consideration by the INSURER if necessary. The INSURER shall notify the ADMINISTRATION quarterly of all accepted and non-accepted providers.
Provider Contracting. The Contractor shall enter into written agreements with providers to ensure the provision of all covered services as outlined in this contract. When contracting with providers the Contractor shall have the authority to develop alternative and varying contractual models and relations, and incentives outside of the fee-for-service structure. The Contractor must submit a copy of all base provider agreements to the Department for review and approval.
Provider Contracting. 6.2.l The DMO must enter into Provider Agreements to ensure Network adequacy under Section
Provider Contracting. ACR Consulting Services has a proven history of handling Single Case Agreements (SCA). Our work frees up insurers to handle other important issues while providing a level of expertise that many providers do not possess. All of which facilitates patient access to out-of-network providers.
Provider Contracting. 3.1 Each party understands and acknowledges that the other party is in the business of providing health care services and, as such, may from time to time enter into contracts with providers currently under contract with the other party.
Provider Contracting. The MBHO will assure that all hospitals facilities, doctors, dentists, and all health care providers are appropriately licensed and in good standing with all their governing bodies and accrediting agencies and meet all practice requirements established by law, the Department of Health, the ASSMCA and other governing agencies, as described in the MBHO's Proposal. The ADMINISTRAT1ON may review participating provider credentials at any time and submit its findings to the MBHO. The MBHO shall notify the ADMINISTRATION quarterly of all accepted and non-accepted providers.
Provider Contracting
