Provider Relations. A. Recognizing providers are the DCP Holding Company product - continually promote their skills, quality, cost-effectiveness and value to all public.
Provider Relations. 4.9.4.1 The Contractor shall establish and maintain a formal Provider relations function to timely and adequately respond to inquiries, questions and concerns from network Providers. The Contractor shall implement policies addressing the compliance of Providers with the requirements of GF, institute a mechanism for Provider dispute resolution and execute a formal system of terminating Providers from the network.
Provider Relations. The Health Plan shall establish and maintain a formal Provider relations function to timely and adequately respond to inquiries, questions and concerns from network Providers. The Health Plan shall implement policies addressing the compliance of Providers with the requirements of this Contract, institute a mechanism for Provider dispute resolution and execute a formal system of terminating Providers from the Health Plan’s network.
Provider Relations. 2.18.7.1 The CONTRACTOR shall establish and maintain a formal provider relations function to timely and adequately respond to inquiries, questions and concerns from contract providers. The CONTRACTOR shall implement policies to monitor and ensure compliance of providers with the requirements of this Agreement.
Provider Relations. 5 3.0 MEMBER SERVICES AND ENROLLMENT .................. 9 4.0
Provider Relations. These processes deal with development, management, and monitoring of the CLIENT network of Affiliated Providers. All activities will be linked together by a unique Affiliated Provider identification number. The functional processes of viewing and editing/updating within this function are password protected to maintain the privacy of information and the integrity of the data. Affiliated Providers for which information will be stored includes, but is not limited to: physicians, para-professionals, hospitals, durable medical equipment suppliers, pharmacies, outpatient facilities, long term care facilities, etc. The information includes the multiplicity of medical management and financial relationships of the Affiliated Providers to each other, CLIENT, payors and patients, as well as the medical management and financial relationships of CLIENT with payors, patients, and other Providers.
Provider Relations. ACS shall provide provider relation services for ACS Providers for claims submitted to, or paid by, ACS to the ACS Provider, including toll-free telephone lines, to address any payment or claims review issues involving the payment of a claim under the ACS Provider Agreement. All HSPC inquires or appeals regarding ACS Providers will be addressed and resolved by ACS promptly.
Provider Relations. PA HRM shall assure that provider relations are managed to assure competent operation of the HC Program. PA HRM may select from among the Providers in the Provider Network only those Providers with whom PA HRM wishes to work. PA HRM shall not be obligated to use all Providers under contract to Oxford, but PA HRM may not terminate a Provider's Agreement without Oxford's consent. PA HRM shall not act in any manner to violate the terms of any Oxford Par Provider Agreement. PA HRM shall be authorized to enter into a pharmacy benefit management program agreement with ValueRX on or after the Effective Date to replace the existing agreement with PCS, subject to all required Regulatory Approvals from the State.
Provider Relations. The Contractor shall maintain staff to perform provider relation functions to include; training providers in the Contractor's procedures for authorization and claims payments, assisting providers to resolve billing and other administrative problems and responding to provider complaints about administrative processes.
Provider Relations. 4.9.5 TOLL-FREE PROVIDER SERVICES TELEPHONE LINE
