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 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.

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.