Out-of-Network Providers. A. If Contractor’s network is unable to provide necessary services covered under the Contract to a particular Member, Contractor must adequately and timely cover these services out of network for the Member, for as long as the entity is unable to provide them. Out-of-network providers must coordinate with the entity with respect to payment. Contractor must ensure that cost to the Member is not greater than it would be if the services were furnished within the network.
Appears in 2 contracts
Samples: www.dhcs.ca.gov, www.edcgov.us
Out-of-Network Providers. A. If Contractor’s network Network is unable to provide necessary services covered under the Contract to a particular Member, Contractor must adequately and timely cover these services out of network out-of-Network for the Member, for as long as the entity is unable to provide them. Out-of-network providers Network Providers must coordinate with the entity with respect to payment. Contractor must ensure that cost to the Member is not greater than it would be if the services were furnished within the networkNetwork.
Appears in 2 contracts
Samples: www.dhcs.ca.gov, www.dhcs.ca.gov
Out-of-Network Providers. A. If Contractor’s network is unable to provide necessary medical services covered under the this Contract to a particular Member, Contractor must adequately and timely cover these services out of network for the Member, for as long as the entity Contractor’s network is unable to provide them. Out-of-network providers must coordinate with the entity Contractor with respect to payment. Contractor must ensure that cost to the Member is not no greater than it would be if the services were furnished within the Contractor’s network.
Appears in 1 contract
Samples: www.dhcs.ca.gov
Out-of-Network Providers. A. If Contractor’s network Network is unable to provide necessary medical services covered under the this Contract to a particular Member, Contractor must adequately and timely cover these services out of network Network for the Member, for as long as the entity Contractor’s network is unable to provide them. Out-of-network providers Network Providers must coordinate with the entity Contractor with respect to payment. Contractor must ensure that cost to the Member is not no greater than it would be if the services were furnished within the networkContractor’s Network.
Appears in 1 contract
Samples: www.dhcs.ca.gov
Out-of-Network Providers. A. If Contractor’s network Network is unable to provide necessary medical services covered under the Contract contract to a particular Member, Contractor must adequately and timely cover these services out of network out-of-Network for the Member, for as long as the entity is unable to provide them. Out-of-network providers of- Network Providers must coordinate with the entity with respect to payment. Contractor must ensure that cost to the Member is not no greater than it would be if the services were furnished within the networkNetwork.
Appears in 1 contract
Samples: www.dhcs.ca.gov