Enrollment Verification Sample Clauses

Enrollment Verification. ‌ The Division, or its Agent, shall provide the Contractor on a monthly basis a listing of all MississippiCAN Program Members who have selected or been assigned to the Contractor. The Contractor must ensure that Out-of-network Providers can verify Member Enrollment in the Contractor’s plan prior to treating a patient for non-Emergency Services. Within five (5) business days of the date on which the Contractor receives the Member Listing Report from the Division, the Contractor must provide Network Providers and Out-of-network Providers the ability to verify Enrollment by telephone or by another timely mechanism. The Division may impose liquidated damages or other available remedies in accordance with Section 16, Default and Termination, of this Contract if the Contractor is in violation of this section.
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Enrollment Verification. ‌ The Division, or its Agent, shall provide the Contractor a listing of all MississippiCAN and CHIP Members who have selected or been assigned to the Contractor monthly. The Contractor must ensure that Out-of-Network Providers can verify Member Enrollment in the Contractor’s plan prior to treating a patient for non-Emergency Services. Within five (5) business days of the date on which the Contractor receives the Member Listing Report from the Division, the Contractor must provide Network Providers and Out-of-Network Providers the ability to verify Enrollment by telephone or by another timely mechanism.
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Enrollment Verification. Participating Provider shall be responsible for verifying an individual’s enrollment under the applicable Health Benefits Plan. An individual’s possession or presentment of an identification card does not guarantee such individual’s enrollment in an applicable Plan. Moreover, Participating Provider’s verification of such enrollment shall not necessarily indicate that any health services being provided by Participating Provider are Medically Necessary or are Covered Services.
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Enrollment Verification. The Division, or its Agent, shall provide the Contractor on a monthly basis a listing of all CHIP Members who have selected or been assigned to the Contractor. The Contractor must ensure that Out-of-network Providers can verify Member Enrollment in the Contractor’s plan prior to treating a Member for non-emergency services. Within five (5) business days of the date on which the Contractor receives the Member Listing Report from the Division, the Contractor must provide network Providers and Out-of- network Providers the ability to verify Enrollment by telephone, web portal, and/or by another timely mechanism.
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Enrollment Verification. Please attach a copy of the official registration showing enrollment/courses for the above-listed term.
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Enrollment Verification. ‌ DOM, or its Agent, shall provide Contractor on a monthly basis a listing of all CHIP Members who have selected or been assigned to Contractor. Contractor must ensure that Non-Contracted Providers can verify Member Enrollment in Contractor’s plan prior to treating a Member for non-emergency services. Within five
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Enrollment Verification. Charter School shall provide the District with its actual ADA count and the number of students of the Charter School at the time of the filing of the P-1 state attendance report and at the time of the filing of the P-2 state attendance report. The Charter School shall additionally provide to the District on the foregoing dates the names and addresses of students in a manner consistent with applicable law, including FERPA, no later than October 15, 2019.
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Enrollment Verification. Ministry/OFHN The Ministry and/or the OFHN may, at any time, at their sole expense, seek to verify the enrolled status of persons through such measures or procedures as may be considered appropriate or necessary. Where the results of such verification measures or procedures show that the person is no longer an Enrolled Patient, the Ministry or the OFHN shall remove such person from the FHN Physicians list of enrolled Patients and shall give immediate notice of the removal to the Lead FHN Physician. Where, after reasonable efforts, OFHN cannot verify that a person remains a validly Enrolled Patient, OFHN may give notice to the Lead FHN Physician. If the FHN is unable to demonstrate that the person remains a validly Enrolled Patient within 90 days of such notice, the Ministry may withhold all or part of the FHN Physician’s monthly payment that relates to those Enrolled Patients whose enrolled status has not been verified. If money is withheld under this section, no interest shall be owed by the Ministry to the FHN .
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Related to Enrollment Verification

  • Enrollment The Competitive Supplier shall be responsible for enrolling all Eligible Consumers through EDI transactions submitted to the LDC for all enrollments of Eligible Consumers during the term of this Agreement.

  • Eligibility Verification (a) HHSC will verify Medicaid eligibility for Dual Eligible Members by the fifth business day of the month following the receipt of the MA Dual SNP’s monthly enrollment file, in accordance with Section 3.02(b).

  • Disenrollment 1. The Contractor shall:

  • Re-enrollment Any eligible employees who wish to join the Sick Leave Bank after their first year of eligibility will contribute two (2) days upon joining. Such membership may only be made during the month of October using the appropriate forms. The two (2) required days of leave shall be donated from their account upon enrollment in the Classified Employee Council (CEC).

  • Employment Eligibility Verification As required by IC § 22-5-1.7, the Contractor swears or affirms under the penalties of perjury that the Contractor does not knowingly employ an unauthorized alien. The Contractor further agrees that:

  • Employee Eligibility Verification The Contractor warrants that it fully complies with all Federal and State statutes and regulations regarding the employment of aliens and others and that all its employees performing work under this Contract meet the citizenship or alien status requirement set forth in Federal statutes and regulations. The Contractor shall obtain, from all employees performing work hereunder, all verification and other documentation of employment eligibility status required by Federal or State statutes and regulations including, but not limited to, the Immigration Reform and Control Act of 1986, 8 U.S.C. §1324 et seq., as they currently exist and as they may be hereafter amended. The Contractor shall retain all such documentation for all covered employees for the period prescribed by the law. The Contractor shall indemnify, defend with counsel approved in writing by County, and hold harmless, the County, its agents, officers, and employees from employer sanctions and any other liability which may be assessed against the Contractor or the County or both in connection with any alleged violation of any Federal or State statutes or regulations pertaining to the eligibility for employment of any persons performing work under this Contract.

  • Enrollment Requirements You must maintain with Blue Cross and Blue Shield a current and updated listing of covered employees. You will be responsible for all claims costs and expenses associated with failure to maintain an accurate and current listing with Blue Cross and Blue Shield, unless such claims costs and expenses are due to an error on Blue Cross and Blue Shield’s part. Eligibility of an Employee In order to maintain health care coverage with Blue Cross and Blue Shield, an employee must meet the written eligibility requirements (such as length of service, active employment and number of hours worked) you impose as long as they do not conflict with Blue Cross and Blue Shield’s eligibility requirements. An eligible employee as defined by Blue Cross and Blue Shield means: • A permanent full-time employee regularly working 30 hours or more each week at the employer’s usual place(s) of business and who is paid a salary or wage in accordance with state and federal wage requirements; or • A permanent part-time employee regularly working at least 20 hours but less than 30 hours each week at the employer’s usual place(s) of business and who is paid a salary or wage in accordance with state and federal wage requirements; or • A disabled permanent full-time or part-time employee who is actively working despite the disability (including one who is engaged in a trial work period) and a disabled employee who is not actively working but whom the employer treats as an employee; or • A former employee (or a former covered dependent of the employee of the group) who qualifies for continued group coverage under federal or state law, but only if the employer maintains Blue Cross and Blue Shield group coverage for permanent full-time employees as defined in (a) above; or • A retired employee of the employer. Enrollment of a Member Newly hired employees who are eligible for group benefits can enroll in the benefits plan according to your eligibility requirements for coverage, provided that your requirements comply with Blue Cross and Blue Shield’s eligibility and enrollment requirements. The effective date of an eligible employee’s (or his or her dependent’s) membership in the benefits plan may be the Member’s initial eligibility date or your subsequent anniversary/renewal date, as long as: (a) Blue Cross and Blue Shield receives your written notice no later than 30 days after the Member’s enrollment notification period applicable to membership modifications (as described in the Subscriber Certificate for your benefits plan); and (b) you pay the applicable premium charges.

  • Open Enrollment KFHPWA will allow enrollment of Subscribers and Dependents who did not enroll when newly eligible as described above during a limited period of time specified by the Group and KFHPWA.

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