Common use of Credentialing, Licensing and Performance Clause in Contracts

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) or the CMS. Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, in writing, in the event PROVIDER suffers a suspension or a termination of license or professional liability insurance coverage. PROVIDER shall; (a) devote the time, attention and energy necessary for the competent and effective performance of duties hereunder to Member(s), (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 2 contracts

Samples: Participating Provider Agreement, Participating Provider Agreement

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Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXXXXXXX and the requirements of the North Carolina Administrative Code, Title 11, Insurance, Chapters 20.0404 and 20.0202(6). PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, Plan(s) or and the CMS. Such documentation shall include, but shall is not be limited to to, proof of: National Provider Identifier Numbernumber, licensure, accreditation, credentials, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation privileges in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, in the event PROVIDER suffers a suspension or a termination of license or professional liability insurance coverage. Should PROVIDER shall; experience any change(s) to the information provided to XXXXX on his/her/its last credentialing application PROVIDER shall xxxxxx XXXXX, in writing and within thirty (a30) devote the time, attention and energy necessary for the competent and effective performance calendar days of duties hereunder to Member(s), (b) such an occurrence. PROVIDER shall ensure that vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) . PROVIDER agrees to abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 2 contracts

Samples: cvw1.davisvision.com, davisvision.com

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ provisional credentialing, credentialing and re-credentialing policies and procedures and the provisional credentialing, credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform provisional credentialing, credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) ), or the CMS. Such documentation shall include, but shall not be limited to to, proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify xxxxxx XXXXX, in writing, in the event PROVIDER suffers a suspension or a termination of PROVIDER’s license or professional liability insurance coverage. PROVIDER shall; : (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement. PROVIDER agrees to provide services within the scope of PROVIDER’s license(s) and certification(s) and within the scope of the Plan(s) Product(s) as provided to PROVIDER, from time to time, by XXXXX. PROVIDER agrees he/she/it shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), ) and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, XXXXX and Plan(s) or the CMS. Such documentation shall include, but shall not be limited to to, proof of: National Provider Identifier Number(“NPI”) number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional Network participation in the Network privileges or the right to remove any professional from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, writing in the event PROVIDER suffers a suspension or a termination of license or of professional liability insurance coverage. PROVIDER shall; (a) devote the time, attention and energy necessary for the competent and effective performance of duties hereunder to Member(s), ; (b) ensure that vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, ; and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of the CMS and any Plan contracting with XXXXX. PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, and/or the CMS and Plan(s) or the CMS). Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation privileges in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, writing in the event PROVIDER suffers a suspension or a termination of license or of professional liability insurance coverage. PROVIDER shall; (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) ; use best efforts to ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, ; and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: davisvision.com

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ provisional credentialing, credentialing and re-credentialing policies and procedures and the provisional credentialing, credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform provisional credentialing, credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) ), or the CMS. Such documentation shall include, but shall not be limited to to, proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, in writing, in the event PROVIDER suffers a suspension or a termination of PROVIDER’s license or professional liability insurance coverage. PROVIDER shall; : (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ provisional credentialing, credentialing and re-credentialing policies and procedures and the provisional credentialing, credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform provisional credentialing, credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) or the CMS. Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, in writing, in the event PROVIDER suffers a suspension or a termination of PROVIDER’s license or professional liability insurance coverage. PROVIDER shall; : (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), ; (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, ; and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, Agreement shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- credentialing of PROVIDER as required by XXXXX, XXXXX and Plan(s) or the CMS). Such documentation shall include, but shall not be limited to to, proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, writing in the event PROVIDER suffers a suspension or a termination of license or professional liability insurance coverage. PROVIDER shall; (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, ; and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required require by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, Plan(s) ), or the CMS. Such documentation shall include, but shall not be limited to to, proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation privileges in the Network Network, or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, in the event PROVIDER suffers a suspension or a termination of license or of professional liability insurance coverage. PROVIDER shall; : (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services. Notwithstanding anything herein to the contrary, XXXXX and HCSC shall comply with the TX HMO Act §843.304 prohibiting the exclusion of a practitioner from Network participation based solely upon the type of license or authorization held by the practitioner.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-re- credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees that he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) or the CMS. Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees that XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees that at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, XXXXX in writing, writing in the event that PROVIDER suffers a suspension or a termination of license or of professional liability insurance coverage. PROVIDER shall; : (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), ) (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, practices and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of the CMS and any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, ; shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), ; and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) or ), and/or the CMS. Such documentation shall include, but shall not be limited to to, proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation privileges in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, in the event PROVIDER suffers a suspension or a termination of professional license or professional liability insurance coverage. PROVIDER shall; (a) devote the time, attention and energy necessary for the competent and effective performance of duties hereunder to Member(s), (b) ; ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, ; and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

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Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, Plan(s) or the CMS. Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, in writing, in the event PROVIDER suffers a suspension or a termination of license or professional liability insurance coverage. PROVIDER shall; (a) devote the time, attention and energy necessary for the competent and effective performance of duties hereunder to Member(s), (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXXXXXXX and the requirements of the North Carolina Administrative Code, Title 11, Insurance, Chapters 20.0404 and 20.0202(6). PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, Plan(s) or and the CMS. Such documentation shall include, but shall is not be limited to to, proof of: National Provider Identifier Numbernumber, licensure, accreditation, credentials, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation privileges in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, XXXXX in writing, in the event PROVIDER suffers a suspension or a termination of license or professional liability insurance coverage. Should PROVIDER shall; experience any change(s) to the information provided to XXXXX on his/her/its last credentialing application PROVIDER shall notify XXXXX, in writing and within thirty (a30) devote the time, attention and energy necessary for the competent and effective performance calendar days of duties hereunder to Member(s), (b) such an occurrence. PROVIDER shall ensure that vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) . PROVIDER agrees to abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: cvw1.davisvision.com

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-re- credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees that he/she/it shall be duly licensed by the state in which services are to be rendered and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, he/she/it shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, XXXXX and Plan(s) or the CMS). Such documentation shall include, but shall not be limited to may include proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees that XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees that at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, in writing, promptly xxxxxx XXXXX in the event that PROVIDER suffers a suspension or a termination of his/her/its license or of his/her/its professional liability insurance coverage. PROVIDER shall; (a) shall devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) . PROVIDER shall use his/her/its best efforts to ensure that vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) . PROVIDER agrees to abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: cvw1.davisvision.com

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ provisional credentialing, credentialing and re-credentialing policies and procedures and the provisional credentialing, credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform provisional credentialing, credentialing and re- credentialing of PROVIDER as required by XXXXX, Plan(s) or the CMS. Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify xxxxxx XXXXX, in writing, in the event PROVIDER suffers a suspension or a termination of PROVIDER’s license or professional liability insurance coverage. PROVIDER shall; : (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), ; (b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, ; and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of any Plan contracting with XXXXX. PROVIDER agrees he/she/it shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, Plan(s) or the CMS. Such documentation shall may include, but shall not be limited to to, proof of: National Provider Identifier Number, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation privileges in the Network Network, or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, xxxxxx XXXXX in writing, in the event that PROVIDER suffers a suspension or a termination of his/her/its license or of his/her/its professional liability insurance coverage. PROVIDER shall; (a) shall devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (b) . PROVIDER shall use his/her/its best efforts to ensure that vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) . PROVIDER agrees to abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.

Appears in 1 contract

Samples: Participating Provider Agreement

Credentialing, Licensing and Performance. PROVIDER agrees to comply with all aspects of XXXXX’ credentialing and re-credentialing policies and procedures and the credentialing and re-credentialing policies and procedures of XXXXX, the CMS and of any Plan contracting with XXXXX. PROVIDER agrees he/she/it PROVIDER shall be duly licensed and certified under applicable State and federal statutes and regulations to provide the vision care services that are the subject of this Agreement, shall hold Diagnostic Pharmaceutical Authorization (DPA) certification to provide Dilated Fundus Examinations (DFE), and shall participate in such programs of continuing education required by State regulatory and licensing authorities. Further, PROVIDER shall assist and facilitate in the collection of applicable information and documentation to perform credentialing and re- re-credentialing of PROVIDER as required by XXXXX, Plan(s) ), or the CMS. Such documentation shall include, but shall not be limited to proof of: National Provider Identifier Numbernumber, licensure, certification, provider application, professional liability insurance coverage, undergraduate and graduate education and professional background. PROVIDER agrees XXXXX shall have the right to source verify the accuracy of all information provided, and at XXXXX’ sole option, the right to deny any professional participation in the Network or the right to remove from Network participation any professional for whom inadequate, inaccurate, or otherwise unacceptable information is provided. PROVIDER agrees at all times, and to the extent of his/her/its knowledge, PROVIDER shall immediately notify XXXXX, XXXXX in writing, in the event PROVIDER suffers a suspension or a termination of license or of professional liability insurance coverage. PROVIDER shallshall ; (a) devote the time, attention and energy necessary for the competent and effective performance of PROVIDER’s duties hereunder to Member(s), (bMember(s),(b) ensure vision care services provided under this Agreement are of a quality that is consistent with accepted professional practices, and (c) abide by the standards established by XXXXX including, but not limited to, standards relating to the utilization and quality of vision care services.and

Appears in 1 contract

Samples: Participating Provider Agreement

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