Common use of Non-Network Providers Clause in Contracts

Non-Network Providers. It is understood that in some instances, Enrollees will require specialty care not available from a Network Provider and that Contractor will arrange that such services be provided by a non-Network Provider. In such event, Contractor will promptly negotiate an agreement (single-case agreement) with a non-Network Provider to treat the Enrollee until a qualified Network Provider is available. Contractor shall ensure that any non-Network Provider billing for services rendered in Illinois is enrolled in the HFS Medical Program prior to paying a claim.

Non-Network Providers. It is understood that in some instances, Enrollees will require specialty care not available from a Network Provider and that Contractor will arrange that such services be provided by a non-Network non‐Network Provider. In such event, Contractor will promptly negotiate an agreement (single-single case agreement) with a non-Network non‐Network Provider to treat the Enrollee until a qualified Network Provider is available. Contractor shall make best efforts to ensure that any non-Network non‐Network Provider billing for services rendered in Illinois is enrolled in the HFS Medical Program prior to paying a claim.

Non-Network Providers. It is understood that in some instances, Enrollees will require specialty care not available from a Network Provider and that Contractor will arrange that such services be provided by a non-Network Provider. In such event, Contractor will promptly negotiate an agreement (single-single case agreement) with a non-Network Provider to treat the Enrollee until a qualified Network Provider is available. Contractor shall make best efforts to ensure that any non-Network Provider billing for services rendered in Illinois is enrolled in the HFS Medical Program prior to paying a claim.