Credentialing Information Sample Clauses

Credentialing Information. WellCare shall provide IPA with all credentialing information that WellCare has obtained in connection with each IPA Physicians; provided that each IPA Physician has consented to the release of such information by WellCare to IPA in writing.
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Credentialing Information. Provider agrees to give the Health Plan, within fifteen (15) days of date of signing of this Agreement, copies of the following items related to its professional position, and to maintain a current copy with the Health Plan, at Health Plan’s office: a) A current copy of the State of Florida license. b) A current copy of the Drug Enforcement Administration (DEA) registration certificate. c) A current copy of the malpractice insurance certificate, or compliance with financial responsibility requirements. d) A completed Provider Application Form. e) A Curriculum Vitae. f) A copy of the applicable graduate school diploma. g) Copies of the internship, residency, and fellowship certificates, if applicable. h) W-9 Request for Tax Id Number. i) Test Claim.
Sample 1
Credentialing Information. It may be necessary for THP to perform Credentialing of Provider and Provider Affiliates, and each individual Provider and Provider Affiliate that THP elects to Credential shall be required to execute the Agreement Release and Immunity authorizing THP to obtain Credentialing information from third parties in the form of Exhibit 3 attached ---------- to this Agreement.
Sample 1
Credentialing Information a. CAS shall maintain a central repository that provides access to files based on necessary approval. b. CAS will not use or share any credentialing program information gathered accept what is required by Federal and State law.
Sample 1
Credentialing Information. Seller and the Unitholders shall use its and their best efforts to, or to cause the relevant Practitioners to, in a timely manner, supply Buyer and its Affiliates, with any and all information or signatures necessary to complete its credentialing process with all Government Programs and Private Programs necessary to operate the Business in the ordinary course of business.
Sample 1
Credentialing Information. PROVIDER hereby acknowledges and agrees that MSHN or its designee may share its credentialing information, site review findings and written report with other PIHPs or CMHSPs, upon request and as determined by MSHN, and any written response from the ProviderPROVIDER. Notwithstanding anything to the contrary contained in this Agreement, PROVIDER agrees that MSHN may also obtain credentialing information, site review findings and reports regarding the ProviderPROVIDER from other PIHPs or CMHSPs, and MSHN may utilize such information in the exercise of its rights under this Agreement.
Sample 1
Credentialing Information. Provider shall comply with and provide all necessary credentialing information required in PCN’s credentialing policies as stipulated in the PCN Provider Manual.
Sample 1
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Related to Credentialing Information

  • Billing Information 6.1 NLT and the RL shall provide each other with information within their possession that is necessary to allow them to provide accurate and timely billing to each other and to any other relevant third parties.

  • Credentialing Firm shall be required to access Citizens’ online vendor credentialing system (“CAIS”) to input, update and maintain certain information about Firm and the persons who will perform work related to this Agreement (“Staff”), as provided below and in Exhibit B attached hereto.

  • Updating information You must tell us promptly if information you have provided to us changes, including if your billing address changes or if your use of energy changes (for example, if you start running a business at the premises).

  • Furnishing Information (a) No Holder shall use any free writing prospectus (as defined in Rule 405) in connection with the sale of Registrable Securities without the prior written consent of the Company. (b) It shall be a condition precedent to the obligations of the Company to take any action pursuant to Section 4 of this Annex E that the selling Holders and the underwriters, if any, shall furnish to the Company such information regarding themselves, the Registrable Securities held by them and the intended method of disposition of such securities as shall be required to effect the registered offering of their Registrable Securities.

  • Credentialing Requirements Registry Operator, through the facilitation of the CZDA Provider, will request each user to provide it with information sufficient to correctly identify and locate the user. Such user information will include, without limitation, company name, contact name, address, telephone number, facsimile number, email address and IP address.

  • Supporting Information Each Franchise Fee payment shall be accompanied by a brief report prepared by a representative of Franchisee showing the basis for the computation.

  • IDENTIFYING INFORMATION AND PRIVACY NOTIFICATION (a) FEDERAL EMPLOYER IDENTIFICATION NUMBER and/or FEDERAL SOCIAL SECURITY NUMBER. As a condition to NYSERDA’s obligation to pay any invoices submitted by Contractor pursuant to this Agreement, Contractor shall provide to NYSERDA its Federal employer identification number or Federal social security number, or both such numbers when the Contractor has both such numbers. Where the Contractor does not have such number or numbers, the Contractor must give the reason or reasons why the payee does not have such number or numbers.

  • Due Diligence Review; Information The Company shall make available, during normal business hours, for inspection and review by the Investors, advisors to and representatives of the Investors (who may or may not be affiliated with the Investors and who are reasonably acceptable to the Company), all financial and other records, all SEC Filings (as defined in the Purchase Agreement) and other filings with the SEC, and all other corporate documents and properties of the Company as may be reasonably necessary for the purpose of such review, and cause the Company’s officers, directors and employees, within a reasonable time period, to supply all such information reasonably requested by the Investors or any such representative, advisor or underwriter in connection with such Registration Statement (including, without limitation, in response to all questions and other inquiries reasonably made or submitted by any of them), prior to and from time to time after the filing and effectiveness of the Registration Statement for the sole purpose of enabling the Investors and such representatives, advisors and underwriters and their respective accountants and attorneys to conduct initial and ongoing due diligence with respect to the Company and the accuracy of such Registration Statement. The Company shall not disclose material nonpublic information to the Investors, or to advisors to or representatives of the Investors, unless prior to disclosure of such information the Company identifies such information as being material nonpublic information and provides the Investors, such advisors and representatives with the opportunity to accept or refuse to accept such material nonpublic information for review and any Investor wishing to obtain such information enters into an appropriate confidentiality agreement with the Company with respect thereto.

  • Identifying Information Issuer and Broker acknowledge that a portion of the identifying information set forth on Exhibit A is being requested by NCPS in connection with the USA Patriot Act, Pub.L.107-56 (the “Act”). To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. For a non-individual person such as a business entity, a charity, a Trust, or other legal entity, we ask for documentation to verify its formation and existence as a legal entity. We may also ask to see financial statements, licenses, identification and authorization documents from individuals claiming authority to represent the entity or other relevant documentation.

  • Listing Information As used herein, “

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