Common use of Enrollment Verification Clause in Contracts

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.

Appears in 3 contracts

Samples: Contractual Agreement, Contractual Agreement, Contractual Agreement

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Enrollment Verification. ‌ The Division, or its Agent, shall provide the Contractor on a monthly basis a listing of all MississippiCAN and CHIP Program Members who have selected or been assigned to the Contractor monthlyContractor. The Contractor must ensure that Out-of-Network 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 network Providers the ability to verify Enrollment by telephone or by another timely mechanism.

Appears in 2 contracts

Samples: medicaid.ms.gov, medicaid.ms.gov

Enrollment Verification. ‌ The Division, or its Agentagent, shall provide the Contractor on a monthly basis a listing of all MississippiCAN and CHIP Program Members who have selected or been assigned to the Contractor monthlyContractor. The Contractor must ensure that OutNon-of-Network Contracted Providers can verify Member Enrollment in the Contractor’s plan prior to treating a patient for non-Emergency Servicesemergency 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 network Providers and OutNon-of-Network Contracted Providers the ability to verify Enrollment by telephone or by another timely mechanism.

Appears in 2 contracts

Samples: www.medicaid.ms.gov, medicaid.ms.gov

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Enrollment Verification. ‌ The Division, or its Agent, shall provide the Contractor on a monthly basis a listing of all MississippiCAN and CHIP Program Members who have selected or been assigned to the Contractor monthlyContractor. The Contractor must ensure that OutNon-of-Network Contracted 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 network Providers and OutNon-of-Network Contracted Providers the ability to verify Enrollment by telephone or by another timely mechanism.

Appears in 1 contract

Samples: www.medicaid.ms.gov

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