Common use of Provider Services Clause in Contracts

Provider Services. 6.1 The TOP contractor shall ensure that all purchased care sector network providers and their support staff have sufficient understanding of the applicable TRICARE program requirements, policies, and procedures to allow them to carry out the requirements of this contract in an efficient and effective manner that promotes beneficiary satisfaction. 6.2 The TOP contractor shall have the responsibility for developing and delivering TRICARE Program information to purchased care sector providers. The contractor shall determine the requirements for printed products and will develop and deliver these products after obtaining approval from the Government. The information in these products will generally be determined by the contractor based on their understanding of the needs of their network providers; however, the Government may mandate the inclusion of certain topics or information. 6.3 Provider education materials shall include information regarding claims processing procedures, claims submission deadlines, and normal claims processing time lines. 6.4 The Government shall ensure provider satisfaction with contractor-provided information by conducting random satisfaction surveys of select network providers.

Provider Services. 6.1 The TOP contractor shall ensure that all purchased care sector network providers and their support staff have sufficient understanding of the applicable TRICARE program requirements, policies, and procedures to allow them to carry out the requirements of this contract in an efficient and effective manner that promotes beneficiary satisfaction. 6.2 The TOP contractor shall have the responsibility for developing and delivering TRICARE Program information to purchased care sector providers. The contractor shall determine the requirements for printed products and will develop and deliver these products after obtaining approval from the Governmentgovernment. The information in these products will generally be determined by the contractor based on their understanding of the needs of their network providers; however, the Government government may mandate the inclusion of certain topics or information. 6.3 Provider education materials shall include information regarding claims processing procedures, claims submission deadlines, and normal claims processing time lines. 6.4 The Government government shall ensure provider satisfaction with contractor-provided information by conducting random satisfaction surveys of select network providers.