Common use of Enrollment Verification Clause in Contracts

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 Non-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 Providers and Non-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 agentAgent, 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 NonOut-Contracted of-network 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 NonOut-Contracted of-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 Program and CHIP Members who have selected or been assigned to the ContractorContractor monthly. The Contractor must ensure that NonOut-Contracted of-Network 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 NonOut-Contracted of-Network Providers the ability to verify Enrollment by telephone or by another timely mechanism.

Appears in 1 contract

Samples: Contractual Agreement

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Enrollment Verification. ‌ The Division, or its agentAgent, 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 Non-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 Providers and Non-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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