Out-of-Network Providers. 4.8.19.1 If the Contractor’s network is unable to provide Medically Necessary Covered Services to a particular Member, the Contractor shall adequately and timely cover these services Out-of-Network for the Member. The Contractor must inform the Out-of Network Provider that the member cannot be balance billed.
Appears in 5 contracts
Samples: Business Associate Agreement (Centene Corp), Business Associate Agreement (Amerigroup Corp), Business Associate Agreement (Centene Corp)
Out-of-Network Providers. 4.8.19.1 9.7.1 If the Contractor’s network is unable to provide Medically Necessary Covered Services or FQHC Services to a particular Memberan Enrollee, the Contractor shall adequately and timely cover these services Out-of-Network for the Member. The Contractor must inform the Out-using Providers outside of Network Provider that the member cannot be balance billedits Network.
Appears in 3 contracts
Samples: Contract (Triple-S Management Corp), Contract (Triple-S Management Corp), Triple-S Management Corp
Out-of-Network Providers. 4.8.19.1 4.8.18.1 If the Contractor’s network is unable to provide Medically Necessary Covered Services to a particular Member, the Contractor shall adequately and timely cover these services Out-of-Network for the Member. The Contractor must inform the Out-of Network Provider that the member cannot be balance billed.
Appears in 2 contracts
Samples: Business Associate Agreement (Centene Corp), Business Associate Agreement (Wellcare Health Plans, Inc.)
Out-of-Network Providers. 4.8.19.1 If the Contractor’s network is unable to provide Medically Necessary Covered Services to a particular Member, the Contractor shall adequately and timely cover these services Out-of-Network for the Member. The Contractor must inform the Out-of Network Provider that the member cannot be balance billed.
Appears in 1 contract
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)
