Common use of Provider Contract Administration Clause in Contracts

Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUP: 3.1.6.1. Identify and solicit participation of health care providers identified by the GROUP as necessary for GROUP operations; 3.1.6.2. Review and make recommendations regarding the business terms of agreements between GROUP and Participating Providers; 3.1.6.3. Make recommendations regarding compensation to Participating Providers; 3.1.6.4. Make recommendations regarding the definition of primary, specialty and ancillary services; 3.1.6.5. Instruct all Participating Providers and their office staff regarding established GROUP policies and procedures at least annually during the term of this Agreement. 3.1.6.6. Coordinate the preparation, negotiation and renewal of GROUP Participating Provider Agreements.

Appears in 3 contracts

Samples: Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc), Management Services Agreement (Prospect Medical Holdings Inc)

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Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUP: 3.1.6.1. 3.1.6.1 Identify and solicit participation of health care providers identified by the GROUP as necessary for GROUP operations; 3.1.6.2. 3.1.6.2 Review and make recommendations regarding the business terms of agreements between GROUP and physicians with whom GROUP contracts or employs to provide professional medical services to Plan enrollees (“Participating Providers”); 3.1.6.3. 3.1.6.3 Make recommendations regarding compensation to Participating Providers; 3.1.6.4. 3.1.6.4 Make recommendations regarding the definition of primary, specialty and ancillary services; 3.1.6.5. 3.1.6.5 Instruct all Participating Providers and their office staff regarding established GROUP policies and procedures at least annually during the term of this Agreement. 3.1.6.6. 3.1.6.6 Coordinate the preparation, negotiation and renewal of GROUP Participating Provider Agreements.

Appears in 1 contract

Samples: Management Services Agreement (Prospect Medical Holdings Inc)

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Provider Contract Administration. During the term of this Agreement, Manager shall provide the following provider contract administration services to GROUPGroup: 3.1.6.11.1.6.1. Identify and solicit participation of health care providers identified by the GROUP Group as necessary for GROUP operationshealth plan contracting; 3.1.6.21.1.6.2. Review Identify and make recommendations regarding execute the business terms of agreements between GROUP Group and Participating Providers; 3.1.6.31.1.6.3. Make recommendations Identify and execute agreements regarding compensation to Participating Providers; 3.1.6.41.1.6.4. Make recommendations regarding the definition of primary, specialty and ancillary services; 3.1.6.51.1.6.5. Instruct all Participating Providers and their office staff regarding established GROUP Group policies and procedures at least annually during the term of this Agreement. 3.1.6.61.1.6.6. Coordinate With Group approval not unreasonably withheld, coordinate and execute the preparation, negotiation and renewal of GROUP Group Participating Provider Agreements.

Appears in 1 contract

Samples: Management Services Agreement (Prospect Medical Holdings Inc)

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