Provider Roster. PROVIDER agrees XXXXX and each Plan which contracts with XXXXX may use PROVIDER’s name, address, telephone number, type of practice, and willingness to accept new patients in the XXXXX or in the Plan roster of Participating Provider(s). The roster is intended for and may be inspected and used by prospective patients and others.
Provider Roster. The TPA will develop and maintain a database of all providers, including name, billing address, physical address, telephone number, provider number, area(s) of practice or specialty, and for providers, the hospital(s) where admitting privileges are maintained. The TPA will develop linkages of providers to clinics, which will include clinic name, address, telephone number, and provider number in the database where applicable. The linkages will include providers that are associated with multiple clinics. Such information must conform to state and federal requirements, such as HIPAA and Health Information Technology for Economic and Clinical Health (HITECH). The TPA, via toll free telephone line and searchable web site, will provide a listing of all providers. The searchable website shall, at a minimum, include functionality to search by provider type and specialty by county and/or zip code. The information returned should include provider name, address, telephone number, days and hours of operation, board certification status, hospital admitting privileges, and whether provider is accepting new patients. The format of the listing will be determined by agreement between the TPA and the Board. Printed lists of providers will be available to participants upon request. The TPA must provide monthly updates to the provider listing (i.e., adds/deletes) to the Board including, but not limited to, the following components: • Provider’s Complete Name • Tax ID • Board Certification Status • Provider Number • Specialty • Clinic Name • Complete Address • Notification Date • Effective Date • Termination Date • Reinstatement Date • Reason for update The TPA agrees to the performance standards for maintaining updates to the provider roster as outlined in Exhibit B, Performance Standards, of this Contract.
Provider Roster. Medical Group agrees that IPA and each Plan that contracts with IPA may use Medical Group and its Specialist Physicians' name, address, phone number, type of practice and willingness to accept new patients in the IPA or Plan roster of Medical Group participants. The roster may be inspected by and is intended to be used by prospective patients, prospective IPA physicians, Plans and others.
Provider Roster. PCN shall create and update periodically a “Preferred Provider Roster” that shall be provided to all Payors, and that may be used in marketing and similar activities. Provider shall provide all information requested by PCN for his/her listing in the Roster, and shall be listed in the Roster so long as he/she is party to this Agreement.
Provider Roster. Prior to the commencement date of this Agreement, Contractor shall provide to Director a full listing of its then current medical Staff (including voluntary, part-time, full-time Staff, physicians-house Staff, osteopaths, pharmacists, mid-level practitioners, i.e., nurse practitioners, nurse midwives and physician assistants, and dentists and dental hygienists if applicable). As applicable, data elements may include: name, National Provider Identifier; office address/telephone number; gender; current licenses/certificates (e.g., California Physicians and Surgeons License Number, DEA License Number, board status (board-eligible or board- certified); whether provider is a County Employee or otherwise is providing services to County as a volunteer or under a separate contract with County; and any other information deemed necessary by the Director. Contractor shall provide Director with an updated provider roster, with a completed information sheet for each new provider (both voluntary and employed, physician and mid-level practitioner) and the deleted providers clearly indicated at least thirty (30) calendar days prior to any addition or deletion of a provider delivering services under this Agreement or as soon as Contractor becomes aware of the staffing change. Contractor shall promptly remove any primary care physician or non-physician medical provider scheduled to provide or providing services hereunder upon the written request of Director who shall state the reasons for this action in his/her request.
