Common use of Provider Changes Clause in Contracts

Provider Changes. Notify BCBSM in writing using BCBSM’s enrollment change notification process within thirty (30) days of changes in Provider’s business. This includes changes in ownership, name, tax identification number, location, phone number, business structure, licensure, medical director, days/hours of operation, National Provider Identifier, or any changes where Provider no longer meets the Qualification Standards. Prior notice of such changes does not guarantee continued participation under this Agreement.

Appears in 2 contracts

Samples: Participation Agreement, Participation Agreement

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Provider Changes. Notify BCBSM in writing using BCBSM’s enrollment change notification process within thirty (30) days of changes in Provider’s business. This includes business including changes in ownership, name, tax identification number, location, phone number, business structure, licensure, medical directorMedicare certification/approval, days/hours of operationMedicare DMEPOS supplier number, or National Provider Identifier, or any changes where Provider no longer meets the Qualification Standards. Prior notice of such changes does not guarantee continued participation under this Agreement.;

Appears in 2 contracts

Samples: Durable Medical Equipment/ Prosthetic and Orthotic Supplier Provider Participation Agreement, Durable Medical Equipment/ Prosthetic and Orthotic Supplier Provider Participation Agreement

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