Common use of REFERRALS TO PROVIDER Clause in Contracts

REFERRALS TO PROVIDER. Provider will be included on a list of Providers available on the Alliance website and offered to Members who call the Alliance Access and Information Center for referral. Alliance reserves the right to suspend referrals to Provider in its reasonable discretion and to refer Members to other Providers, No referrals or authorizations are guaranteed to take place under this Contract. Provider shall have a “no-reject policy” for referrals within capacity and parameters of their competencies. Provider agrees to accept all referrals meeting criteria for services they provide when there is available capacity.

Appears in 3 contracts

Samples: Medicaid Direct Network Participating Provider Contract, Medicaid Network Participating Provider Contract, Medicaid Direct Network Participating Provider Contract

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REFERRALS TO PROVIDER. Provider will be included on a list of Providers available on the Alliance website and offered to Members Recipients who call the Alliance Access and Information Center for referral. Alliance reserves the right to suspend referrals to Provider in its reasonable discretion and to refer Members Recipients to other Providers, No referrals or authorizations are guaranteed to take place under this Contract. Provider shall have a “no-reject policy” for referrals within capacity and parameters of their competencies. Provider agrees to accept all referrals meeting criteria for services they provide when there is available capacity.

Appears in 1 contract

Samples: Network Participating Provider Contract

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