Provider-Patient Relationship. DHEC does not, by virtue of entering into or performing this Contract, assume a provider-patient relationship with any person with whom DHEC does not otherwise have such a relationship. Persons receiving services from Contractor will be deemed Contractor’s patients.
Provider-Patient Relationship. Nothing contained in this Agreement shall (i) interfere with or in any way alter any provider-patient relationship, (ii) gxxxx Xxxxx or any party performing Utilization Management the right to govern the level of care of a patient, or (iii) be interpreted to discourage or prevent Provider from communicating to patients all appropriate diagnostic testing and treatment options. Utilization management decisions shall only affect reimbursement of Provider for services rendered and shall not limit the performance of the services of Provider or affect professional judgment.
Provider-Patient Relationship. DHEC does not, by virtue of entering into or performing this Subaward, assume a provider-patient relationship with any person with whom DHEC does not otherwise have such a relationship. Persons receiving services from Subrecipient will be deemed Subrecipient’s patients.
Provider-Patient Relationship. Participating Allied Health Provider shall maintain the provider-patient relationship with each Member and be responsible for the medical care and treatment of Members. Nothing contained in this Agreement is intended or shall be interpreted: (i) to interfere with the provider- patient relationship, (ii) to prohibit or otherwise restrict Participating Allied Health Provider from discussing treatment or non-treatment options with Members that may not reflect the position of the HMSA QUEST Plan or may not be covered by the HMSA QUEST Plan, (iii) to prohibit or otherwise restrict Participating Allied Health Provider from acting within the lawful scope of practice, (iv) to prohibit or otherwise restrict Participating Allied Health Provider from advising or advocating on behalf of a Member for the Member’s health status, medical care, or treatment or non-treatment options, including any alternative treatments that may be self-administered, (v) to discourage or prohibit providing other medical advice deemed appropriate by Participating Allied Health Provider, even if the information relates to services or benefits not provided under the HMSA QUEST Plan, or (vi) to prohibit or otherwise restrict Participating Allied Health Provider from advocating on behalf of any Member to obtain necessary health care services in any grievance system, utilization review process or individual authorization process.
Provider-Patient Relationship. Vision Group and Participating Providers shall maintain the provider- patient relationship with each Member to whom Vision Group provides Covered Services, and shall be responsible for the vision care and treatment of such Members in conjunction with each Member’s primary care physician. Vision Group and Participating Providers shall discuss all treatment options, including the option of no treatment, with Vision Group’s Member patients, and shall discuss all risks, benefits, and consequences to treatment and non-treatment. Nothing contained in this Agreement is intended or shall be interpreted to: (a) interfere with such provider- patient relationship, (b) discourage or prohibit a Participating Provider from discussing preventive or treatment options, or (c) discourage or prohibit a Participating Provider from providing other vision advice or treatment deemed appropriate.
Provider-Patient Relationship. IPA agrees that it will not intervene in any way or manner with the rendition of services by Provider, it being understood and agreed that, except to the extent provided in Section 3.2 of this Agreement, the relationship between Provider and patient will be maintained.
Provider-Patient Relationship. Neither MCO, Payer nor any entity performing quality assessment or utilization review or similar services has any control over the provider-patient relationship and any final decisions regarding treatment or confinement remain with the provider and patient. Hospital shall acknowledge that MCO does not provide medical, dental or other health are services, and that Hospital and its representatives shall be solely responsible for all clinical decisions regarding the admission, treatment, referral or discharge of Eligible Subscribers under the care of Hospital or a member of Hospital's medical staff, notwithstanding the receipt by Hospital or a member of Hospital's medical staff, whether in writing or otherwise, of any information, recommendation, authorization or denial of authorization regarding such admission, treatment, referral or discharge that may be issued by MCO or its agent pursuant to applicable Managed Care Agreements, or by any other person or entity performing quality assessment or utilization review or other similar services with respect to an Eligible Subscriber.
Provider-Patient Relationship. The parties acknowledge and agree that any and all decisions rendered by VISTA in its administration of this Agreement, including, but not limited to, all decisions with respect to the determination of whether or not a service is a Covered Service, are made solely to determine if payment of benefits under the applicable VISTA Coverage Plan is appropriate. The parties further acknowledge and agree that any and all decisions relating to the necessity of the provision or non-provision of medical services or supplies shall be made solely by the Member and PCP in accordance with the usual provider-patient relationship. PCP shall have sole responsibility for the medical care and treatment of Members under PCP's care. PCP further acknowledges and agrees that it is possible that a Member and PCP may determine that certain services or supplies are appropriate even though such services or supplies are not Covered Services under the applicable VISTA Coverage Plan and will not be paid for or arranged by VISTA. PCP shall inform Members in writing prior to provision of such non-Covered Services that such services are not Covered Services and that the Member will be responsible for payment for such non-Covered Services and collect the fees for such non-Covered Services directly from the Member.
Provider-Patient Relationship. AHI agrees that it will not interfere in the professional relationship between Provider and patient.
Provider-Patient Relationship. This Agreement is not intended to interfere with the professional relationship between any Medi-Cal Member and his or her Provider. Provider will be responsible for maintaining the professional relationship with Medi-Cal Members and are solely responsible to such Medi-Cal Members for all Services provided. PARTNERSHIP will not be liable for any claim or demand on account of damages arising out of, or in any manner connected with, any injuries suffered by the Medi-Cal Member resulting from the acts or omissions of Provider. Provider is allowed to freely communicate with Members regarding their health status, medical care and treatment options, alternative treatment, and medication treatment regardless of benefit coverage limitations. Members must be informed of risks, benefits and consequences of the treatment options, including the option of no treatment and make decisions about ongoing and future medical treatments. Provider must provide information regarding treatment options, including the option of no treatment in a culturally competent manner and consistent with the cultural competency, sensitivity, and diversity training as provided by the PARTNERSHIP. Health care professionals must ensure that patients with disabilities have effective communication throughout the health system in making decisions regarding treatment options. ATTACHMENT A INFORMATION REGARDING OFFICERS, OWNERS, AND STOCKHOLDERS DRAFT List the names of the officers, owners, stockholders owning more than 5% of the stock issued by the physician, and major creditors holding more than 5% of the debt of the organization identified on the execution page of this Agreement. (This is a requirement of Title 22, CCR, Section 53250). ATTACHMENT B ECM SITE LOCATION(S) List the site name(s), location(s) that apply to this Agreement. Add page if additional site information is applicable. Tax Identification number: 00-0000000 Billing NPI: 0000000000
