Provider Network Lists Clause Samples
The Provider Network Lists clause defines the requirement for maintaining and providing up-to-date lists of healthcare providers that are part of a health plan's network. Typically, this clause obligates the insurer or plan administrator to supply accurate and current information about participating doctors, hospitals, and other medical facilities to plan members, often through online directories or printed materials. By ensuring that members have access to reliable provider information, this clause helps prevent confusion, supports informed decision-making, and reduces the risk of members inadvertently seeking care from out-of-network providers.
Provider Network Lists. The Contractor agrees to provide EOHHS quarterly with a list of all its participating providers, including its behavioral health and substance use disorder providers, with whom regular referral arrangements exist. This list must include a separate list of PCPs who have adequate capacity to accept members. In addition, a list will be provided quarterly that includes designation of language capability of the provider and physical accessibility of the provider’s location, as well as applicable addresses and telephone numbers.
Provider Network Lists. Contractor agrees to provide the State quarterly with a list of all its participating providers, including its mental health and substance abuse providers, with whom regular referral arrangements exist. This list must include a separate list of PCPs who have adequate capacity to accept members. In addition, a list shall be provided quarterly that includes designation of language capability of the provider and physical accessibility of the provider’s location, as well as applicable addresses and telephone numbers.
Provider Network Lists. Contractor agrees to provide the State quarterly with a list of all its participating dental providers, including those whose practices are open to additional RIte Smiles members. The list shall be provided quarterly and includes designation of language capability of the provider and physical accessibility of the provider's location, as well as applicable addresses and telephone numbers. The format of data submission will be determined by the State.