Common use of Medical and Professional Support Staff Clause in Contracts

Medical and Professional Support Staff. The Health Plan shall have medical and professional support staff sufficient to conduct daily business in an orderly manner, including having Enrollee services staff directly available during business hours for Enrollee services consultation, as determined through management and medical reviews. The Health Plan shall maintain sufficient medical staff, available twenty-four (24) hours per day, seven (7) days per week, to handle Emergency Services and Care inquiries. The Health Plan shall maintain sufficient medical staff during non-business hours, unless the Health Plan's computer system automatically approves all Emergency Services and care claims relating to Screening and treatment.

Appears in 2 contracts

Samples: Wellcare Health Plans, Inc., Wellcare Health Plans, Inc.

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Medical and Professional Support Staff. The Health Plan shall have medical Medical and professional support staff Professional Support Staff sufficient to conduct daily business in an orderly manner, including having Enrollee services staff directly available during business hours for Enrollee services consultation, as determined through management and medical reviews. The Health Plan shall maintain sufficient medical staff, available twenty-four (24) hours per day, seven (7) days per week, to handle Emergency Services and Care inquiries. The Health Plan shall maintain sufficient medical staff Medical and Professional Support Staff during non-business hours, unless the Health Plan's computer system automatically approves all Emergency Services and care Care claims relating to Screening and treatment.

Appears in 2 contracts

Samples: Contract (Wellcare Health Plans, Inc.), Wellcare Health Plans, Inc.

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Medical and Professional Support Staff. The Health Plan shall have medical Medical and professional support staff Professional Support Staff sufficient to conduct daily business in an orderly manner, including having Enrollee services staff directly available during business hours for Enrollee services consultation, as determined through management and medical reviews. The Health Plan shall maintain sufficient medical staff, available twenty-four (24) hours per day, seven (7) days per week, to handle Emergency Services and Care inquiries. The Health Plan shall maintain sufficient medical staff Medical and Professional Support Staff during non-business hours, unless the Health Plan's ’s computer system automatically approves all Emergency Services and care Care claims relating to Screening and treatment.

Appears in 1 contract

Samples: Amerigroup Corp

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