OBLIGATIONS OF INTERWEST. 2.1 InterWest shall develop and operate Health Care Networks within its service area that make available Covered Services to Enrollees of Health Benefit Plans offered by Payors. Such Health Care Networks will be established through contracts with Participating Providers. 2.2 InterWest shall credential and periodically recredential all Participating Providers. Information concerning InterWest’s credentialing standards and participation requirements will be made available, upon request, to Providers. 2.3 InterWest shall market its Health Care Networks in a professional and ethical manner consistent with sound business practice. 2.4 InterWest shall negotiate and execute contracts with Payors that make Provider’s services available to Enrollees in keeping with the terms of this Agreement. In negotiating such contracts, InterWest shall make best efforts to ensure that Payors: (a) Issue ID cards to Enrollees that contain the InterWest logo (or other information that is acceptable to InterWest), the address where Participating Providers may submit claims, and the toll free number(s) which Participating Providers can call to obtain benefits, eligibility, precertification, and other information; (b) Make prompt and accurate payment to Participating Providers for Covered Services rendered to Enrollees. Claims shall be processed as promptly as possible, with ninety-five percent (95%) of Clean Claims being paid within thirty
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Samples: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement