Enrollee ID Card Clause Samples
Enrollee ID Card a. Immediately upon the Enrollee’s enrollment with the Health Plan, the Health Plan shall mail, via Surface Mail, an Enrollee Identification (ID) Card. The Enrollee ID Card shall include, at a minimum:
(1) The Enrollee's name and Medicaid ID number;
(2) The Health Plan's name, address and Enrollee services number; and
(3) A telephone number that a non-contracted provider may call for billing information.
Enrollee ID Card. The enrollee ID card shall include, at a minimum:
a. The enrollee's name and Medicaid ID number;
b. The Health Plan's name, address and enrollee services number; and
c. A telephone number that a non-contracted provider may call for billing information.
Enrollee ID Card. The enrollee ID card shall include, at a minimum:
a. The enrollee's name and Medicaid ID number;
b. The Health Plan's name, address and enrollee services number; and
c. A telephone number that a non-contracted provider may call for billing information. WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract
Enrollee ID Card a. Immediately upon the Enrollee’s enrollment with the PSN, the PSN shall mail, via Surface Mail, an Enrollee Identification (ID) Card. The Enrollee ID Card shall include, at a minimum:
(1) The Enrollee's name and Medicaid ID number;
(2) The PSN's name, address and Enrollee services number; and
(3) A telephone number that a non-contracted provider may call for billing information.